State health reform and the role of 1115 waivers.
This article summarizes the status of State health reform and includes a table of major initiatives undertaken by each State. The 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 section 1115 waivers, absent Federal health care reform. The often conflicting roles and responsibilities of Federal and State policy-makers in health reform are explored.
Center for Health Policy Development, National Academy for State Health Policy, Portland, ME 04101, USA.
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D014487:Centers for Medicare and Medicaid Services, U.S.; D017754:Group Purchasing; D018166:Health Care Reform / Q000191:economics* / Q000706:statistics & numerical data; D008484:Medicaid / Q000191:economics / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D013221:State Health Plans / Q000191:economics / Q000331:legislation & jurisprudence*; D014481:United States