<p>Provides a detailed analysis of the fiscal impact of the Clinton Administration's Health Security Act (HSA) on states. Examines the distribution of the various subsidies in the HSA as well as the impact of the many proposed changes in Medicaid. While the paper focuses on the Clinton plan, many of the findings are also relevant to other proposals that offer subsidies to low-income families & restructure Medicaid. Tables.</p>

Fiscal Impact of the Clinton Health Reform Proposal on States

Holahan, John

Liska, David

Medical Books

Diane Pub Co.

Price controls, physician fees, and physician incomes from Medicare and Medicaid (An Urban Institute paper on health ; 998-5)

Administration & Medicine Economics

Urban Institute

Medicaid in the Reagan Era: Federal Policy and State Choices

Bovbjerg, Rand

Health, Fitness & Dieting

Urban Inst Pr

Traces the historical reasons for the access and cost problems plaguing the U.S. health care system. Explains why both problems are likely to get worse. Analyzes in clear nontechnical terms the advantages and disadvantages of different reform alternatives. Presents a proposal for health care system reform that recognizes the cultural and political realities that any realistic U.S. health care reform must tackle: a strong cultural aversion to centralized administration and high public sector costs, an entrenched private health insurance industry, and an established tradition of employer-based health insurance.

Balancing Access, Costs and Politics: The American Context for Health System Reform (Urban Institute Report 91-6)

Moon, Marilyn

Welch, W. Pete

Zuckerman, Stephen

Business & Money

Rowman & Littlefield Publishers

Balancing Access, Costs, and Politics: The American Context for Health System Reform (Urban Institute Reports)

Politics & Social Sciences

Social Sciences

<p>The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children’s Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.</p>

Federalism and Health Policy (Urban Institute Press)

Weil, Alan

Wiener, Joshua M.

Urban Institute Press

The Medicaid Cost Explosion: Causes and Consequences : Report of the Kaiser Commission on the Future of Medicaid

Rowland, Diane

Feder, Judith

Salganicoff, Alina

Henry J Kaiser Family

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