Effects of health system changes on safety-net providers.

States, safety net providers recover millions from Medicaid fraud schemes.

Safety net in the era of health reform: a new vision of care.

The collection of services and providers that making up the safety net system plays a crucial role in providing health care to the nearly 50 million uninsured adults and children nationwide (Kaiser Commission on Medicaid and the Uninsured 2011a). Passage of the Patient Protection and Affordable Care Act (ACA) presents both opportunities and significant challenges for this system. The health ref...

Dimensions of the local health care environment and use of care by uninsured children in rural and urban areas.

OBJECTIVE Despite concerted policy efforts, a sizeable percentage of children lack health insurance coverage. This article examines the impact of the health care safety net and health care market structure on the use of health care by uninsured children. METHODS We used the Medical Expenditure Panel Survey linked with data from multiple sources to analyze health care utilization among uninsur...

Breaking Down Barriers to Creating Safety-Net Accountable Care Organizations: Federal Statutory and Regulatory Issues

EXECUTIVE SUMMARY he implementation of the Patient Protection and Affordable Care Act of 2010 (" PPACA ") is underway. A lively national debate on Medicare and Medicaid reform is also underway. No section of the PPACA straddles both of these events as well as section 3022 of the statute and its proposed implementing regulations, concerning accountable care organizations (" ACOs "). The effort t...

Understanding the safety net: inpatient quality of care varies based on how one defines safety-net hospitals.

A challenge to investigating quality of care at safety-net hospitals is the absence of a standard method for identifying these hospitals. The authors identified three different, commonly used approaches for classifying hospitals as safety-net providers. Analyzing national data on hospital demographics and quality of care, they found little overlap among these three sets of hospitals. Under two ...