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Author: Edward Alan Miller Publisher: Routledge ISBN: 1317962036 Category : Political Science Languages : en Pages : 254
Book Description
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.
Author: Edward Alan Miller Publisher: Routledge ISBN: 1317962036 Category : Political Science Languages : en Pages : 254
Book Description
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.
Author: Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
A "block grant" is a fixed amount of money that the federal government gives to states for a specific purpose. (Sometimes, block grants are referred to as "capped" funding or "allocations.") In Medicaid today, states are reimbursed for actual Medicaid costs instead of being limited to a specific amount of federal funding. This financing system ensures that federal funds are spent efficiently and only for the purposes intended in federal law. Under a block grant, the federal government would estimate in advance how much states need so some states get more than they need and others get less than they need.
Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment Publisher: ISBN: Category : Medical Languages : en Pages : 256
Author: Edward Alan Miller
Author: Edward Alan Miller
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Author: Matthew Broaddus
Author: United States. Congress. Senate. Committee on Finance
Author: Cindy Mann
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Author: United States. General Accounting Office
Author: Cindy Mann
Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment