title: Where the action really is: Medicaid and the disabled.
abstract: Discussions of Medicaid tend to focus on low-income children and their mothers and the institutionalized elderly as the principal beneficiaries, but Medicaid spends more on the nonelderly disabled than on any other group. In the past two decades Medicaid has helped finance the deinstitutionalization of the mentally retarded and a growing proportion of the mentally ill, but implementation of the Olmstead decision has deflected advocates' attention from the more important issue of how managed care plans treat disabled Medicaid beneficiaries.
authors.affiliation: Mount Sinai Medical Center, New York City, USA.
authors.forename: Bruce C
authors.initials: BC
authors.lastname: Vladeck
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000191:economics; D000328:Adult; D000368:Aged; D002648:Child; D003688:Deinstitutionalization / Q000331:legislation & jurisprudence; D019988:Children with Disabilities; D006233:Persons with Disabilities / Q000145:classification / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D006801:Humans; D008329:Managed Care Programs / Q000592:standards* / Q000706:statistics & numerical data; D008484:Medicaid / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000639:trends; D028642:Persons with Psychiatric Disorders; D026684:Personal Autonomy; D019989:Persons with Intellectual Disabilities; D011057:Politics; D011787:Quality of Health Care; D013221:State Health Plans / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000639:trends; D035521:Supreme Court Decisions; D014481:United States