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Medicaid and Devolution

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Release : 1998-06-01
Genre : Medical
Kind : eBook
Book Rating : 922/5 ( reviews)

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Book Synopsis Medicaid and Devolution by : Frank J. Thompson

Download or read book Medicaid and Devolution written by Frank J. Thompson. This book was released on 1998-06-01. Available in PDF, EPUB and Kindle. Book excerpt: How much responsibility for providing health care to the poor should be devolved from the federal government to the states? Any answer to this critical policy question requires a careful assessment of the Medicaid program. Drawing on the insights of leading scholars and top state health care officials, this volume analyzes the policy and management implications of various options for Medicaid devolution. Proponents of devolution typically express confidence that states can meet the challenges it will pose for them. But, as this book shows, the degree to which states have the capacity and commitment to use enhanced discretion to sustain or improve health care for the poor remains an open question. Their failure to attend to issues of politics, implementation, and management could lead to disappointment. Chapters focus on such topics as Medicaid financing, benefits and beneficiaries, long-term care, managed care, safety net providers, and the appropriate division of labor between the federal government and the states. The contributors are Donald Boyd, Center for the Study of the States; Lawrence D. Brown, Columbia University; James R. Fossett, Rockefeller College; Richard P. Nathan, Nelson A. Rockefeller Institute of Government, State University of New York, Albany; Michael Sparer, Columbia University; James Tallon, United Hospital Fund; and Joshua M. Weiner, the Urban Institute.

Federalism and Health Policy

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Release : 2003
Genre : Business & Economics
Kind : eBook
Book Rating : 162/5 ( reviews)

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Book Synopsis Federalism and Health Policy by : Alan Weil

Download or read book Federalism and Health Policy written by Alan Weil. This book was released on 2003. Available in PDF, EPUB and Kindle. Book excerpt: The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.

Puzzling in the Administrative (welfare) State

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Author :
Release : 2004
Genre : Medicaid
Kind : eBook
Book Rating : /5 ( reviews)

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Book Synopsis Puzzling in the Administrative (welfare) State by : David Matthew Sprick

Download or read book Puzzling in the Administrative (welfare) State written by David Matthew Sprick. This book was released on 2004. Available in PDF, EPUB and Kindle. Book excerpt:

Medicaid Politics and Policy

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Author :
Release : 2011-12-31
Genre : Medical
Kind : eBook
Book Rating : 401/5 ( reviews)

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Book Synopsis Medicaid Politics and Policy by : David G. Smith

Download or read book Medicaid Politics and Policy written by David G. Smith. This book was released on 2011-12-31. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid is a story worth telling, one rooted in American history and shaped by its culture and institutions. It has dramatic interest, heroes and heroines, triumphs and tragedies. The authors make this story come alive for the reader by providing a strong connected narrative, detailed accounts of important policy changes, and extensive use of interviews with individuals close to events. They emphasize politics and policy along with history. History is important because Medicaid has developed incrementally, layer by layer, so that almost any provision or activity needs a historical gloss to understand it. The Medicaid program has been especially subject to outside political and policy influences: the state of the economy, trends in federalism, developments in health or welfare programs, and the electoral cycle. Politics helps us understand policy outcomes. But the two go together: a knowledge of policy helps understand what is at stake, and a knowledge of politics what is possible. A central theme of the book is that Medicaid is a "weak entitlement," one less established or effectively defended than Medicare or Social Security, but more secure than welfare or food stamps. Medicaid has the flexibility to adapt (or be adapted) as well as a capacity to defend incremental and opportunistic gains. At the same time, the program lacks an effective mechanism for overall reform. It has grown enormously since its inception to become the largest health insurance system in the country, a source of perennial complaint and, most recently, of continuing crisis. The dual emphasis upon politics and policy is important to make the arcane Medicaid program accessible to the reader, and to distinguish policy grounded in facts and analysis from partisan bombast and ideology. The result is an authoritative account and reference for those seeking to refresh a perspective or to look further.

Devolution and Aging Policy

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Release : 2012-10-12
Genre : Medical
Kind : eBook
Book Rating : 275/5 ( reviews)

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Book Synopsis Devolution and Aging Policy by : Francis G Caro

Download or read book Devolution and Aging Policy written by Francis G Caro. This book was released on 2012-10-12. Available in PDF, EPUB and Kindle. Book excerpt: Explore significant—but often-overlooked—aspects of aging policy! This unique addition to the literature on aging policy will help you understand devolution—the decentralizing of service provision—and the roles that state/local government and private organizations now play in addressing the needs of our aging population. It will show you how to initiate innovations and make positive changes in aging policy through state and local initiatives, collaborations between the federal government and other government agencies, public/private collaboration, and strictly private initiatives. From the editors: “Around the world, the ground rules are being questioned about the role of national governments in addressing domestic needs. During the twentieth century in countries throughout the world, central governments assumed major responsibilities for a wide variety of human needs. Whether the concern was income security, health, housing, or education, interventions were premised upon convictions that a strong public sector role was essential and that major involvement of national governments was needed. More recently, a significant pattern [devolution] has emerged in many countries wherein these responsibilities have shifted away from national governments to regional and local governments as well as from the public to the private sector.” Thoughtfully divided into five sections that illustrate distinctly different forms of devolution, this book first provides an essential overview of devolution and then examines its implications for vital aspects of service provision to the elderly. In the United States in recent years, the single greatest focus for devolution has been the transformation of income security protections for poor families. The federal Aid to Families With Dependent Children program has been replaced by the Temporary Assistance to Needy Families program. Devolution and Aging Policy examines that change and other important facets of the current climate of devolution, including: Medicaid-financed long-term care state sponsorship of services in retirement communities the implications of the Workforce Investment Act for the access of older workers to training at a state level to upgrade their work skills public/private sector collaboration in long-term care insurance long-term care ombudsman programs what state governments can do to help elders make use of information technology property tax credits for seniors that are given in exchange for volunteering on the municipal level how an HMO can encourage and stimulate service coordination and more!

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