The Politics Of Medicaid
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The Politics Of Medicaid
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Author : Laura Katz Olson
language : en
Publisher: Columbia University Press
Release Date : 2010-05-31
The Politics Of Medicaid written by Laura Katz Olson and has been published by Columbia University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-05-31 with Political Science categories.
In 1965, the United States government enacted legislation to provide low-income individuals with quality health care and related services. Initially viewed as the friendless stepchild of Medicare, Medicaid has grown exponentially since its inception, becoming a formidable force of its own. Funded jointly by the national government and each of the fifty states, the program is now the fourth most expensive item in the federal budget and the second largest category of spending for almost every state. Now, under the new, historic health care reform legislation, Medicaid is scheduled to include sixteen million more people. Laura Katz Olson, an expert on health, aging, and long-term care policy, unravels the multifaceted and perplexing puzzle of Medicaid with respect to those who invest in and benefit from the program. Assessing the social, political, and economic dynamics that have shaped Medicaid for almost half a century, she helps readers of all backgrounds understand the entrenched and powerful interests woven into the system that have been instrumental in swelling costs and holding elected officials hostage. Addressing such fundamental questions as whether patients receive good care and whether Medicaid meets the needs of the low-income population it is supposed to serve, Olson evaluates the extent to which the program is an appropriate foundation for health care reform.
The Politics Of Medicare
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Author : Theodore R. R. Marmor
language : en
Publisher: Routledge
Release Date : 2017-07-05
The Politics Of Medicare written by Theodore R. R. Marmor and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-07-05 with Medical categories.
On July 30, 1965, President Johnson flew to Independence, Missouri to sign the Medicare bill. The new statute included two related insurance programs to finance substantial portions of the hospital and physician expenses incurred by Americans over the age of sixty-five. Public attempts to improve American health standards have typically precipitated bitter debate, even as the issue has shifted from the professional and legal status of physicians to the availability of hospital care and public health programs. In The Politics of Medicare, Marmor helps the reader understand Medicare's origins, and he interprets the history of the program and explores what happened to Medicare politically as it turned from a legislative act in the mid-1960s to a major program of American government in the three decades since. This is a vibrant study of an important piece of legislation that asks and answers several questions: How could the American political system yield a policy that simultaneously appeased anti-governmental biases and used the federal government to provide a major entitlement? How was the American Medical Association legally overcome yet placated enough to participate in the program? And how did the Medicare law emerge so enlarged from earlier proposals that themselves had caused so much controversy?
Medicaid Politics And Policy
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Author : David G. Smith
language : en
Publisher: Transaction Publishers
Release Date : 2011-12-31
Medicaid Politics And Policy written by David G. Smith and has been published by Transaction Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-12-31 with Medical categories.
Medicaid is a story worth telling, one rooted in American history and shaped by its culture and institutions. It has dramatic interest, heroes and heroines, triumphs and tragedies. The authors make this story come alive for the reader by providing a strong connected narrative, detailed accounts of important policy changes, and extensive use of interviews with individuals close to events. They emphasize politics and policy along with history. History is important because Medicaid has developed incrementally, layer by layer, so that almost any provision or activity needs a historical gloss to understand it. The Medicaid program has been especially subject to outside political and policy influences: the state of the economy, trends in federalism, developments in health or welfare programs, and the electoral cycle. Politics helps us understand policy outcomes. But the two go together: a knowledge of policy helps understand what is at stake, and a knowledge of politics what is possible. A central theme of the book is that Medicaid is a "weak entitlement," one less established or effectively defended than Medicare or Social Security, but more secure than welfare or food stamps. Medicaid has the flexibility to adapt (or be adapted) as well as a capacity to defend incremental and opportunistic gains. At the same time, the program lacks an effective mechanism for overall reform. It has grown enormously since its inception to become the largest health insurance system in the country, a source of perennial complaint and, most recently, of continuing crisis. The dual emphasis upon politics and policy is important to make the arcane Medicaid program accessible to the reader, and to distinguish policy grounded in facts and analysis from partisan bombast and ideology. The result is an authoritative account and reference for those seeking to refresh a perspective or to look further.
Medicaid Politics And Policy
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Author : David G. Smith
language : en
Publisher: Transaction Publishers
Release Date : 2015-06-30
Medicaid Politics And Policy written by David G. Smith and has been published by Transaction Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-06-30 with Medical categories.
The story of Medicaid comes alive for readers in this strong narrative, including detailed accounts of important policy changes and extensive use of interviews. A central theme of the book is that Medicaid is a “weak entitlement,” one less established or effectively defended than Medicare or Social Security, but more secure than welfare or food stamps. In their analysis, the authors argue that the future of Medicaid is sound. It has the flexibility to be adapted by states as well as to allow for policy innovation. At the same time, the program lacks an effective mechanism for overall reform. They note Medicaid has become a source of perennial political controversy as it has grown to become the largest health insurance system in the country. The book’s dual emphasis on politics and policy is important in making the arcane Medicaid program accessible to readersand in distinguishing policy grounded in analysis from partisan ideology. This second edition features a new preface, three new chapters accounting for the changes to the Affordable Care Act, and an updated glossary.
Medicaid Politics
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Author : Frank J. Thompson
language : en
Publisher: Georgetown University Press
Release Date : 2012-09-20
Medicaid Politics written by Frank J. Thompson and has been published by Georgetown University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-09-20 with Law categories.
Medicaid, one of the largest federal programs in the United States, gives grants to states to provide health insurance for over 60 million low-income Americans. As private health insurance benefits have relentlessly eroded, the program has played an increasingly important role. Yet Medicaid’s prominence in the health care arena has come as a surprise. Many astute observers of the Medicaid debate have long claimed that “a program for the poor is a poor program� prone to erosion because it serves a stigmatized, politically weak clientele. Means-tested programs for the poor are often politically unpopular, and there is pressure from fiscally conservative lawmakers to scale back the $350-billion-per-year program even as more and more Americans have come to rely on it. For their part, health reformers had long assumed that Medicaid would fade away as the country moved toward universal health insurance. Instead, Medicaid has proved remarkably durable, expanding and becoming a major pillar of America’s health insurance system. In Medicaid Politics, political scientist Frank J. Thompson examines the program’s profound evolution during the presidential administrations of Bill Clinton, George W. Bush, and Barack Obama and its pivotal role in the epic health reform law of 2010. This clear and accessible book details the specific forces embedded in American federalism that contributed so much to Medicaid’s growth and durability during this period. It also looks to the future outlining the political dynamics that could yield major program retrenchment.
The Politics Of Medicaid Contracting And Privatization
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Author : David J. Randall
language : en
Publisher:
Release Date : 2012
The Politics Of Medicaid Contracting And Privatization written by David J. Randall and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Medicaid categories.
State Medicaid programs transfer over $100 billion to private firms to manage the health care needs of beneficiaries every year. As a result of state policy choices, there is a great deal of variation among the states in the scope and use of managed care organizations to serve state Medicaid populations. This research answers questions about what factors help to explain the variations among states; with a specific emphasis on both the role of interest group populations and bureaucratic capacity. The questions posed are answered utilizing pooled, cross-sectional time series analysis from 1997 to 2007 to test the relationship between Medicaid managed care policy choices and a variety of political, economic, demographic and governmental control variables. In addition, a four state case study analysis was conducted with similar policy players in each state that utilizes content analysis software to examine transcribed interview response variations about state Medicaid privatization efforts. The findings from the quantitative models suggest that interest groups play an important role in explaining why states choose to use commercial for-profit managed care arrangements. The models also find that states with higher levels of bureaucratic capacity tend to rely less on the use of all forms of managed care in Medicaid contracting, and that state specific managed care markets are positively related to state managed care policy choices. The four state qualitative interviews confirm the accuracy of the statistical analysis and further provide a narrative explaining why states favor one type of Medicaid managed care use. In addition, the interviews clarify how strong interest group communities and diminished bureaucratic capacity explain a state's policy choices. The findings contribute to the state policy and politics literature and health policy making about the role of bureaucracy and interest groups and are generalizable to other state policy venues.
Health Care Politics And Policy In America
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Author : Kant Patel
language : en
Publisher: M.E. Sharpe
Release Date : 1999
Health Care Politics And Policy In America written by Kant Patel and has been published by M.E. Sharpe this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Medical care categories.
Fully updated in this new edition, Health Care Politics and Policy in America combines a historical overview of U.S. health policy and programs with analysis of current trends and reform efforts. The book -- shows how health policy fits into the larger social, economic, political, and ideological environment of the United States; -- identifies the roles played by both public and private, institutional and individual actors in shaping the health care system at all levels; -- considers the trade-offs inherent in various policy choices and their impacts on different social groups; -- takes account of the dynamic impact of technological change on health care capacities, costs, and ethics. This edition includes expanded discussion of equity issues and whether there is a "right" to health care, and a new chapter on the issue of medical liability. The concluding chapter brings the story of health care policy up to the end of the millennium, with particular attention to the managed care revolution and reaction to it. The book equips readers with the basic tools for drawing more informed judgments in the ongoing debate about health care policy in the United States.
Fragmented Democracy
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Author : Jamila Michener
language : en
Publisher: Cambridge University Press
Release Date : 2018-03-22
Fragmented Democracy written by Jamila Michener and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-03-22 with Business & Economics categories.
Because of federalism, Medicaid takes very different forms in different places. This has dramatic and crucial consequences for democratic citizenship.
Healthcare Politics And Policy In America
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Author : Kant Patel
language : en
Publisher: M.E. Sharpe
Release Date : 2014-04-25
Healthcare Politics And Policy In America written by Kant Patel and has been published by M.E. Sharpe this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-04-25 with Medical categories.
Fully updated, this new edition provides a comprehensive examination of the ways that health policy has been shaped by the political, socioeconomic, and ideological environment of the United States. The roles played by public and private, institutional and individual actors in designing the healthcare system are identified at all levels.
The Politics Of Medicare
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Author : Theodore R. Marmor
language : en
Publisher: Aldine De Gruyter
Release Date : 2000
The Politics Of Medicare written by Theodore R. Marmor and has been published by Aldine De Gruyter this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Medical categories.
Discusses Medicare's emergence as a political issue and the responses it elicited within the federal government and American society