In the immediate postwar era the primary object of health reform among the advanced industrial democracies was to expand, if not universalize, access to a broad spectrum of health services through sustained, high levels of government-mandated spending. The fiscal crises of the 1970s and 1980s ushered in a new generation of policies devoted to balancing the imperatives of guaranteeing access to ...

This paper explores the goals and implementation of reforms introducing choice of and competition among insurers providing statutory health coverage in Belgium, Germany, the Netherlands and Switzerland. In theory, health insurance competition can enhance efficiency in health care administration and delivery only if people have free choice of insurer (consumer mobility), if insurers do not have ...

Knowledge The resident will demonstrate an adequate knowledge of: 1) Public funding for mental health services. (3,4,7-9,12) 2) Five public programs that provide funding for children’s mental health services. (1-3) 3) Medicaid eligibility requirements in their state. (3,4,7-9,12) 4) CHIP program eligibility requirements in their state. (3,4,7-9,12) 5) SAMHSA contributions to services and servic...

This policy brief summarizes findings from the first study to evaluate how California's public mental health delivery system has served older adults (60 years of age and over) since the passage of the Mental Health Services Act (MHSA) in 2004. Study findings indicate that there are unmet needs among older adults with mental illness in the public mental health delivery system. There are deficits...