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Medicaid-the need for reform

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  • John Holahan
  • Alan Weil
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    Abstract

    Recent administration proposals to address the rising cost of Medicaid will do little to contain costs or truly reform the program. The primary issues are the large differences among state Medicaid programs in coverage and benefits and the programs high and rising costs. In this paper, we describe and develop several options for Medicaid reform that would expand coverage, provide fiscal relief to states, shift responsibility for some or all of the cost of dual eligibles to the federal government, and eliminate or restructure the disproportionate share programs. A number of other issues are addressed, including Medicaid cost containment and the federal matching rate structure.

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    File URL: http://research.stlouisfed.org/publications/red/2007/01/Holahan.pdf
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    Bibliographic Info

    Article provided by Federal Reserve Bank of St. Louis in its journal Regional Economic Development.

    Volume (Year): (2007)
    Issue (Month): Oct ()
    Pages: 12-21

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    Handle: RePEc:fip:fedlrd:y:2007:i:oct:p:12-21:n:v.3no.1

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    Web page: http://www.stlouisfed.org/
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    Related research

    Keywords: Health care reform ; Medicaid;

    References

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    1. David M. Cutler & Jonathan Gruber, 1995. "Does Public Insurance Crowd Out Private Insurance?," NBER Working Papers 5082, National Bureau of Economic Research, Inc.
    2. Anthony T. LoSasso & Thomas C. Buchmueller, 2002. "The Effect of the State Children's Health Insurance Program on Health Insurance Coverage," NBER Working Papers 9405, National Bureau of Economic Research, Inc.
    3. Blumberg, Linda J. & Dubay, Lisa & Norton, Stephen A., 2000. "Did the Medicaid expansions for children displace private insurance? An analysis using the SIPP," Journal of Health Economics, Elsevier, vol. 19(1), pages 33-60, January.
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