America's health care safety net: revisiting the 2000 IOM report.
The committee that wrote the 2000 Institute of Medicine report on the health care safety net reconvened in 2006 to reflect on the safety net from the perspective of rising numbers of uninsured and underinsured people, the aftermath of Hurricane Katrina, high immigration levels, and new fiscal and policy pressures on care for vulnerable populations. Safety-net providers now participate in Medicaid managed care but find it difficult to meet growing needs for specialty services, particularly mental health care and affordable prescription drugs. How current state reforms and coverage expansions will affect care for the poor and uninsured is a critical issue.
Lewin
Marion E
ME
Chevy Chase, Maryland, USA. marion.lewin@lslewin.com
Baxter
Raymond J
RJ
D004190:Disasters; D011307:Drug Prescriptions / Q000191:economics; D004470:Economics, Medical; D004632:Emergency Medical Services / Q000191:economics / Q000706:statistics & numerical data; D004641:Emigration and Immigration / Q000639:trends; D006291:Health Policy / Q000639:trends*; D006297:Health Services Accessibility / Q000191:economics / Q000639:trends*; D006301:Health Services Needs and Demand / Q000191:economics / Q000639:trends; D006801:Humans; D008329:Managed Care Programs; D008484:Medicaid; D008489:Medical Indigency / Q000706:statistics & numerical data* / Q000639:trends; D017057:Medically Uninsured / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D008605:Mental Health Services / Q000191:economics; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D013038:Specialization; D013221:State Health Plans / Q000191:economics* / Q000639:trends; D014481:United States; D035862:Vulnerable Populations / Q000706:statistics & numerical data