Reform Medicaid First: Laying the Foundation for National Health Care Reform

Front Cover
As Congress contemplates major revisions to America's health care system, two leading health economists warn that significant differences among state Medicaid programs will hinder national health care reform. Thomas W. Grannemann and Mark V. Pauly argue that Medicaid will need to be reformed as an early step in any serious health care reform effort. While states such as Mississippi and Nevada spend as little as $5,000 per poor person annually, New York and Alaska annually spend more than $15,000 per Medicaid patient. Large differences remain even after correcting for cost-of-living and medical-price differences. This imbalance among states creates an uneven and unstable foundation for any national program to address the needs of uninsured Americans. The authors offer principles for reform designed to encourage equity, efficiency, and accountability in all publicly funded health care programs. They suggest changes in provider payment methods and federal/state financing designed to promote interstate equity, equality of payment across settings, claims-based accountability, provider network control, and value-based cost containment. Such reform will require upfront changes in Medicaid to improve access to high-value health care for low-income persons (particularly those in low-Medicaid-benefit states) and to help slow the rate of growth in medical costs. These changes will level the playing field for state programs and provide a crucial foundation for further national reform.

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User Review  - justindtapp - LibraryThing

This book was published in 2009 by the American Enterprise Institute, a conservative think tank. The authors are an academic economist and an economist who works with Medicare and Medicaid. The ... Read full review

Contents

MEDICAID REFLECTS Pursue Cuorcras
7
MAKING MEDICAID PART or NATIONAL
23
THINKING STRATEGICALLY ABOUT REFORM
44
Copyright

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About the author (2009)

Mark V. Pauly is a professor in the Health Care Management Department at the University of Pennsylvania's Wharton School. Thomas W. Grannemann is a health economist and an associate regional administrator for the Centers for Medicare and Medicaid Services in Boston.

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