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Medicaid-the need for reform

Author

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  • John Holahan
  • Alan R. Weil

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.

Suggested Citation

  • John Holahan & Alan R. Weil, 2007. "Medicaid-the need for reform," Regional Economic Development, Federal Reserve Bank of St. Louis, issue Oct, pages 12-21.
  • Handle: RePEc:fip:fedlrd:y:2007:i:oct:p:12-21:n:v.3no.1
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    File URL: http://research.stlouisfed.org/publications/red/2007/01/Holahan.pdf
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    References listed on IDEAS

    as
    1. David M. Cutler & Jonathan Gruber, 1996. "Does Public Insurance Crowd out Private Insurance?," The Quarterly Journal of Economics, Oxford University Press, vol. 111(2), pages 391-430.
    2. Lo Sasso, Anthony T. & Buchmueller, Thomas C., 2004. "The effect of the state children's health insurance program on health insurance coverage," Journal of Health Economics, Elsevier, vol. 23(5), pages 1059-1082, September.
    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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    Keywords

    Health care reform ; Medicaid;

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