Medicaid and the Costs of Federalism, 1984-1992, Gilman
Название: Fiscal Federalism in Theory and Practice ISBN: 1557756635 ISBN-13(EAN): 9781557756633 Издательство: Mare Nostrum (Eurospan) Рейтинг: Цена: 5219.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: The growing interest in intergovernmental fiscal relations has been in line with a growing world-wide trend towards fiscal decentralization. This book presents a series of essays on the principal theoretical and institutional aspects of intergovernmental fiscal relations.
Автор: Miller Название: Block Granting Medicaid ISBN: 0415720621 ISBN-13(EAN): 9780415720625 Издательство: Taylor&Francis Рейтинг: Цена: 22968.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: Medicaid is the largest grant-in-aid program in the United States. Reform in this area, therefore, provides a unique opportunity to study the intersection between federal and state policy making in an area recently characterized by substantial uncertainty deriving from the lingering effects of the Great Recession, ongoing debate over the federal budget, and implementation of the Patient Protection and Affordable Care Act. Invariably states reform the way health care is delivered, regulated, and financed within broader parameters established by federal statutes and regulations. It is critical therefore that effective strategies be put into place if both current and future health and long-term care reform efforts are to have their greatest chances at success. Rhode Island is the first state to receive permission to operate its entire Medicaid program under a global cap. As a consequence, it has entered the national consciousness as a key data point potentially supporting the block grant approach to Medicaid reform. In this book, Edward Alan Miller identifies factors that either facilitated or impeded the design and implementation of Rhode Island’s Global Consumer Choice Compact Medicaid Waiver in order to draw broader lessons for the Medicaid block grant debate and health and long-term care reform more generally. Evidence gathered from archival sources and in-depth interviews with key stakeholders exposes the role that provider capacity has played in the implementation process, including adult day care, assisted living, home maker, and other home- and community-based services. The impact of the Global Waiver on the nursing home sector is examined as well, in addition to new authority to obtain federal matching dollars for previously state-only funded programs. By providing a sophisticated understanding of factors enhancing or impeding state health reform, this book will contribute to improvements in the development and administration of policy development at both the state- and federal-levels.
Описание: This highly original book analyzes political decentralization and fiscal federalism in Canada and Germany, both traditional federal countries, and in Spain, a unitarian country engaged in the last two decades in a process of decentralization.
Описание: In most countries around the world the collection of taxes is centralized in the hands of the national governments. This book studies the process of fiscal centralization in the Latin American federations and the reasons underlying the variation in the roles that state governments and governors have played in them.
Автор: Eichenberger Название: A New Domocratic Federalism For Europe ISBN: 1840640049 ISBN-13(EAN): 9781840640045 Издательство: Edward Elgar Publishers Цена: 19853.00 р. Наличие на складе: Поставка под заказ.
Описание: This innovative book proposes a new institutional arrangement for government to fulfil the needs of its citizens as well as possible. Existing aspects of federalism and direct democracy in Europe are strengthened, and as a result future developments arising in the region are coped with better.
Автор: Per Molander Название: Fiscal Federalism in Unitary States ISBN: 146135109X ISBN-13(EAN): 9781461351092 Издательство: Springer Рейтинг: Цена: 6986.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: The authors believe that fiscal federalism, while originating in formally federal states, is relevant also to the analysis of state-local relationships in unitary states with some degree of regional or local authority.
Автор: Naseer Ahmed Khan Название: Challenges and Issues in Indian Fiscal Federalism ISBN: 9811062161 ISBN-13(EAN): 9789811062162 Издательство: Springer Рейтинг: Цена: 12577.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: This book discusses various dimensions of Indian fiscal federalism, focusing on the current fiscal imbalances - both vertical and horizontal - and their correction.
Автор: Bennett Christina Juris Название: Tenncare, One State`s Experiment with Medicaid Expansion ISBN: 0826520022 ISBN-13(EAN): 9780826520029 Издательство: Mare Nostrum (Eurospan) Рейтинг: Цена: 11504.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
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 state's 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.
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