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Medicaid

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  • Jane Sneddon Little

Abstract

Medicaid has become Massachusetts’ preeminent budget buster. The largest single program in the budget, it will most likely be the most important source of spending increases between FY 1991 and FY 1995. But Massachusetts is not alone. Medicaid is producing budgetary headaches all across the country. This article explains why the Medicaid program has become a substantial burden for Massachusetts and other state governments and why that burden is likely to increase. It examines why Massachusetts’ Medicaid expenditures are above average and outlines some policy choices. ; One option involves promoting best-practice delivery and reimbursement systems to minimize unneeded care and increase efficiency. However, because Medicaid operates as part of state and national health care systems, it cannot be reformed in isolation. Achieving ongoing savings within Medicaid requires controlling costs throughout the health care system.

Suggested Citation

  • Jane Sneddon Little, 1991. "Medicaid," New England Economic Review, Federal Reserve Bank of Boston, issue Jan, pages 27-50.
  • Handle: RePEc:fip:fedbne:y:1991:i:jan:p:27-50
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    File URL: http://www.bostonfed.org/economic/neer/neer1991/neer191c.pdf
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    References listed on IDEAS

    as
    1. Kotlikoff, Laurence J, 1989. "On the Contribution of Economics to the Evaluation and Formation of Social Insurance Policy," American Economic Review, American Economic Association, vol. 79(2), pages 184-190, May.
    2. Rice, Dorothy P, 1989. "Health and Long-term Care for the Aged," American Economic Review, American Economic Association, vol. 79(2), pages 343-348, May.
    3. Alicia H. Munnell, 1987. "The current status of our social welfare system," New England Economic Review, Federal Reserve Bank of Boston, issue Jul, pages 3-12.
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    Keywords

    Insurance; Health ; Welfare;

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