State Perspectives on Health Care Reform: Oregon, Hawaii, Tennessee, and Rhode Island

نویسندگان

  • Jean I. Thome
  • Barbara Bianchi
  • Gordon Bonnyman
  • Clark Greene
  • Tricia Leddy
چکیده

The general consensus among States which have had their section 1115 demonstration projects approved is that there is no one best way to implement State health care reform. The Health Care Financing Administration (HCFA), however, wished to discern how States were accomplishing the task of implementing the demonstrations, and solicited responses from State representatives whose section 1115 demonstration waivers had been approved. The resulting article gives an overview of this implementation process from four State perspectives. Written by representatives from Oregon, Hawaii, Tennessee, and Rhode Island, the ideas presented here are indicative of the complex undertaking of State health care reform.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Evolution of Medicaid Managed Care Systems and Eligibility Expansions

The States of Tennessee, Hawaii, Rhode Island, Oklahoma, and Maryland initiated section 1115 demonstration projects to reform their State Medicaid programs, fea­ turing large expansions of Medicaid managed care. The projects were controversial and chaotic in the beginning but have matured with time. Survey data indicate that Tennessee’s expansion reduced unin­ surance rates among low-income per...

متن کامل

Part 79—scrapie in Sheep and Goats

Alabama, Alaska, Arizona, California, Colorado, Connecticut, Delaware, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South ...

متن کامل

Federally Qualified Health Centers: Surviving Medicaid Managed Care, But Not Thriving

This article reviews the experiences of federally qualified health centers (FQHCs) in Hawaii, Rhode Island, and Tennessee before and after Medicaid managed care demonstrations began. Adapting to managed care proved challenging, but all FQHCs survived. Overall, FQHCs performed better financially than anticipated, partly because demonstrations expanded coverage to previously uninsured individuals...

متن کامل

Perils of Pioneering: Monitoring Medicaid Managed Care

This article reviews Federal and State oversight of section 1115 Medicaid managed care demonstrations in Hawaii, Oklahoma, Rhode Island, and Tennessee from 1994 to 1998. Under Medicaid managed care, the Federal Government and States have had to shift their focus and resources into oversight functions that barely existed in fee-for-service (FFS) Medicaid. We find that managed care monitoring was...

متن کامل

Health care access, utilization, and needs in a predominantly Latino immigrant community in Providence, Rhode Island.

MOre than 46 MIllIOn peOple In the us lack health insurance, as do 140,000 Rhode Islanders (16% of the state’s population under age 65). Most of the state’s uninsured are low income working adults, and thirtyeight percent are low-income childless adults who are not currently eligible for Medicaid. The number of uninsured individuals has been rising in the region, due to decreases in employer-ba...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 16  شماره 

صفحات  -

تاریخ انتشار 1995