Medicaid and state health care reform: process, programs, and policy options.
Health care reform is a continuously evolving process. The States and the Federal Government have struggled with policy issues to combat escalating Medicaid expenditures while ensuring access and quality of care to an ever-expanding population. In the absence of national health care reform, States are increasingly relying on Federal waivers to develop innovative approaches to address a myriad of issues associated with the present health care delivery system. This article provides a summary of State health care reform efforts that have been initiated under Federal waiver authority.
Rotwein
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Health Care Financing Administration, Baltimore 21207, USA.
Boulmetis
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Boben
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Fingold
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Hadley
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Rama
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Van Hoven
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D005069:Evaluation Studies as Topic; D005431:Florida; D006254:Hawaii; D017048:Health Care Costs; D018166:Health Care Reform / Q000331:legislation & jurisprudence*; D005102:Health Expenditures / Q000331:legislation & jurisprudence / Q000639:trends; D006297:Health Services Accessibility / Q000331:legislation & jurisprudence; D007629:Kentucky; D008329:Managed Care Programs / Q000331:legislation & jurisprudence; D008484:Medicaid / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D009922:Oregon; D017060:Patient Satisfaction; D011787:Quality of Health Care; D012237:Rhode Island; D013221:State Health Plans / Q000191:economics / Q000331:legislation & jurisprudence*; D013714:Tennessee; D014481:United States