title: Health care for Nebraska's medically indigent.
abstract: In this study, several alternatives for the provision of health care to the medically indigent of Nebraska were analyzed quantitatively and qualitatively. These alternatives were: expansion of county medical assistance programs, state-purchased health insurance policies, Medicaid expansion, revenue pool to redistribute charity-care losses, all-payer rate system, mandated employer-purchased health insurance, and charity-care districts. Under four future scenarios, alternatives were ranked on the basis of program costs, a sensitivity analysis, and qualitative criteria. This analysis found that state-purchased health policies would result in lower program costs than either an increase in county assistance programs or employer-mandated health insurance. Medicaid expansion would reach fewer than one-third of the state's medically indigent. A revenue pool and all-payer rate system are the least costly alternatives but depend on the continuing good will of providers.
authors.affiliation: College of Business Administration, Creighton University, Omaha, NE 68178.
authors.forename: M L
authors.initials: ML
authors.lastname: Mallenby
mesh_terms: D002017:Budgets / Q000331:legislation & jurisprudence; D003362:Cost-Benefit Analysis / Q000331:legislation & jurisprudence; D004469:Economics, Hospital / Q000331:legislation & jurisprudence; D006297:Health Services Accessibility / Q000191:economics / Q000331:legislation & jurisprudence; D006801:Humans; D008489:Medical Indigency / Q000191:economics / Q000331:legislation & jurisprudence*; D017057:Medically Uninsured / Q000331:legislation & jurisprudence; D009329:Nebraska; D013221:State Health Plans / Q000191:economics / Q000331:legislation & jurisprudence*; D014481:United States