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WebThe Health Care Financing Administration's (HCFA's) role in reviewing State waiver proposals is analyzed, and the author examines why States are likely to continue to seek … Webincreasing financial access to health care. A variety of cost-control strategies have been attempted at the Federal, State, and local levels ofgovernment and by private payers. Despite these efforts, health care costs continue to escalate. The resulting pressure on public, Health care Fia•Dda& Review/F•Il 1992/Volume 14, Number I 151 WebHealth Care Financing Review annual supplement. US Dept of Health and Human Services. Baltimore, Health Care Financing Administration, 1985, p 9. 13. Friedman E: Mandatory insurance: A cure for indigence? shorelines 28