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Block Granting Medicaid - A Model for 21st Century Health Reform? (Paperback)
Loot Price: R1,226
Discovery Miles 12 260
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Block Granting Medicaid - A Model for 21st Century Health Reform? (Paperback)
Series: Routledge Research in Public Administration and Public Policy
Expected to ship within 12 - 17 working days
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Donate to Against Period Poverty
Total price: R1,246
Discovery Miles: 12 460
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Medicaid is the largest grant-in-aid program in the United States.
Reform in this area, therefore, provides a unique opportunity to
study the intersection between federal and state policy making in
an area recently characterized by substantial uncertainty deriving
from the lingering effects of the Great Recession, ongoing debate
over the federal budget, and implementation of the Patient
Protection and Affordable Care Act. Invariably states reform the
way health care is delivered, regulated, and financed within
broader parameters established by federal statutes and regulations.
It is critical therefore that effective strategies be put into
place if both current and future health and long-term care reform
efforts are to have their greatest chances at success. Rhode Island
is the first state to receive permission to operate its entire
Medicaid program under a global cap. As a consequence, it has
entered the national consciousness as a key data point potentially
supporting the block grant approach to Medicaid reform. In this
book, Edward Alan Miller identifies factors that either facilitated
or impeded the design and implementation of Rhode Island's Global
Consumer Choice Compact Medicaid Waiver in order to draw broader
lessons for the Medicaid block grant debate and health and
long-term care reform more generally. Evidence gathered from
archival sources and in-depth interviews with key stakeholders
exposes the role that provider capacity has played in the
implementation process, including adult day care, assisted living,
home maker, and other home- and community-based services. The
impact of the Global Waiver on the nursing home sector is examined
as well, in addition to new authority to obtain federal matching
dollars for previously state-only funded programs. By providing a
sophisticated understanding of factors enhancing or impeding state
health reform, this book will contribute to improvements in the
development and administration of policy development at both the
state- and federal-levels.
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