Federalism and Health Policy

Front Cover
John Holahan, Alan Weil, Joshua M. Wiener
The Urban Insitute, 2003 - Medical - 432 pages
The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.
 

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Contents

Rationales
25
Health Care within the Larger State Budget
59
Variation in Health Insurance Coverage and Medical
111
Leaders and Laggards in State Coverage Expansions
179
State Flexibility in Action
215
Can the States Be the Engine of Reform?
249
Health Insurance
361
Improving the Federal System of Health Care Coverage
399
About the Editors
419
Copyright

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