Medicaid is the primary means for providing medical care to the
nation's indigent and disabled populations. Almost 13 percent of
all Americans received some form of medical coverage, such as
physician services or long-term care, through Medicaid in the early
1990s. The costs continue to rise dramatically, and state
governments have become alarmed by the growing share of their
budgets that Medicaid consumes.
Daniels and his contributors present the efforts of 16 states to
reform their Medicaid programs through a system of managed
care--programs that seek to control or manage the use by patients
of physicians and other heath care services. They present an
overview of the inconsistency and paradox of American health care,
pointing to the ways each state's unique political and economic
variables give rise to individually stylized approaches to the
delivery of Medicaid services. The most comprehensive look at state
efforts in Medicaid reform, the book will be an invaluable resource
for scholars and researchers in the fields of public and health
administration, for practitioners, and for policymakers.
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