BLOCK GRANTING MEDICAID by Edward Alan Miller ( 9781317962021 )

Item Details

Title:

BLOCK GRANTING MEDICAID
A MODEL FOR 21ST CENTURY HEALTH REFORM?

By:

Format:

Electronic book text

List price:	£24.99
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ISBN 10:

1317962028

ISBN 13:

9781317962021

Publisher:

TAYLOR & FRANCIS LTD

Pub. date:

1 November, 2013

Series:

Routledge Research in Public Administration and Public Policy

Pages:

238

Synopsis:

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.

Illustrations:

2 Tables, black and white

Publication:

Imprint:

Routledge

Returns:

Non-returnable

Some other items by this author:

BLOCK GRANTING MEDICAID

BLOCK GRANTING MEDICAID (HB)

BLOCK GRANTING MEDICAID (PB)

DIGITAL MEDICINE