Block Granting Medicaid A Model for 21st Century Health Reform? Routledge Research in Public Administration and Public Policy Series
Auteur : Miller Edward Alan
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.
1. Rhode Island as Policy Laboratory 2. Waiver Genesis 3. The Politics of Approval 4. A Primer on the Global Waiver 5. External Factors and Implentation 6. Internal Factors and Implentation 7. Service Delivery and Implentation 8. Waiver Achievements and Lessons 9. Block Grants and Retrenchment
Edward Alan Miller is Associate Professor in the Departments of Gerontology and Public Policy and Fellow in the Gerontology Institute at the University of Massachusetts Boston., and also Adjunct Associate Professor in the Departments of Political Science and Health Services, Policy and Practice at Brown University. He was recently named a Fellow of the Social Research, Policy and Practice Section of the Gerontological Society of America.
Date de parution : 12-2013
15.2x22.9 cm
Disponible chez l'éditeur (délai d'approvisionnement : 14 jours).
Prix indicatif 172,36 €
Ajouter au panierDate de parution : 12-2015
15.2x22.9 cm
Disponible chez l'éditeur (délai d'approvisionnement : 14 jours).
Prix indicatif 46,39 €
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Mots-clés :
Medicaid; Health care; Affordable Care Act; Federalism; State Politics; Public Policy; Edward Alan Miller; Block Grants; Patient Protection and Affordable Care Act; Fiscal Policy; Intergovernmental Relations; Program implementation and evaluation; Global Waiver; Pay For Performance; Block Grant Medicaid; Rhode Island General Assembly; Provider Representative; Resident Acuity; State Administrative Personnel; Community Based Services; Nursing Home Diversions; Medicaid Managed Care; RIte Care; Medicaid Reform; Block Grant; Community Based Services Waivers; Dually Eligible; Medicaid Program; Task Force’s Work Groups; Medicaid Expansion; Primary Care Case Management; Medicaid Long Term Care; State Plan Option; Community Based Resources; SNHs; Block Grant Approach; Adult Day Care Centers