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Tenncare, One State`s Experiment with Medicaid Expansion, Bennett Christina Juris


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Автор: Bennett Christina Juris
Название:  Tenncare, One State`s Experiment with Medicaid Expansion
ISBN: 9780826520029
Издательство: Mare Nostrum (Eurospan)
Классификация:
ISBN-10: 0826520022
Обложка/Формат: Hardback
Страницы: 248
Вес: 0.50 кг.
Дата издания: 30.08.2014
Серия: Medicine
Язык: English
Размер: 229 x 152 x 23
Читательская аудитория: Professional and scholarly
Ключевые слова: Health systems & services
Подзаголовок: One state`s experiment with medicaid expansion
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Поставляется из: Англии
Описание: A history of the struggle among competing stakeholders in one of the oldest and most controversial experiments in US health care policy, a precursor to Obamacare. In 1993, Tennessee launched a reform initiative designed to simultaneously expand the proportion of residents with health insurance and curtail cost increases. It was guided by principles that nearly match those that guided the creation of the Affordable Care Act, also known as Obamacare. Like the ACA, TennCare used corporations, rather than a single government payer, to implement the plan, and it relied on a mix of managed care, market competition, and government regulation.

While many states cut back on their Medicaid enrollments from 1993 to 2001, TennCare grew from 750,000 to 1.47 million enrollees. The state was less successful in controlling costs, however. Each major stakeholder group (the state, the managed care organizations, the providers, and the enrollees and their advocates) pushed back against parts of the states strategy that adversely affected their interests, and they eventually dismantled the mechanisms of cost constraint.

The author lays out the four stakeholder perspectives for each period in the history of TennCare and provides a link to difficult-to-access primary documents.




Medicare and Medicaid at 50: America`s Entitlement Programs in the Age of Affordable Care

Автор: Cohen Alan B., Colby David C., Wailoo Keith A.
Название: Medicare and Medicaid at 50: America`s Entitlement Programs in the Age of Affordable Care
ISBN: 0190231548 ISBN-13(EAN): 9780190231545
Издательство: Oxford Academ
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Цена: 4196.00 р.
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Описание: For fifty years, Medicare and Medicaid have stood at the center of a contentious debate surrounding American government, citizenship, and health care entitlement. In Medicare and Medicaid at 50, leading scholars in politics, government, economics, health policy, and history offer a comprehensive assessment of the evolution of these programs and their impact on society -- from their origins in the Great Society era to the current battles over the Affordable Care Act ("Obamacare").

These highly accessible essays examine Medicare and Medicaid from their origins as programs for the elderly and poor to their later role as a safety net for the middle class. Along the way, they have served as touchstones for heated debates about economics, social welfare, and the role of government.

Medicare and Medicaid at 50 addresses key questions for understanding the past and future of health policy in America, including:

� What were the origins for these initiatives, and how were they transformed over time?
� What marks have Medicare and Medicaid left on society?
� In what ways have these programs produced innovation, even in eras of retrenchment?
� How did Medicaid, once regarded as a poor person's program, expand its benefits and coverage over the decades to become the platform for the ACA's future expansion?

The volume's contributors go on to examine the powerful role of courts in these transformations, along with the shifting roles of Congress, public opinion, and state governors in the programs' ongoing evolution.

From Lyndon Johnson to Barack Obama on the left, and from Ronald Reagan to George W. Bush on the right, American political leaders have tied their political fortunes to the fate of America's entitlement programs; Medicare and Medicaid at 50 helps explain why, and how those ongoing debates are likely to shape the future of the Affordable Care Act.


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