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By Institute of Medicine, Managed Care, and the Future Viability of Safety Net Providers Committee on the Changing Market, Stuart Altman, Marion Ein Lewin

ISBN-10: 030906497X

ISBN-13: 9780309064972

"America's healthiness Care safeguard internet" explains how pageant and price matters in modern day overall healthiness care industry are posing significant demanding situations to persisted entry to deal with America's bad and uninsured. At a time whilst policymakers and services are urgently looking information, the committee recommends concrete concepts for retaining the viability of the protection web - with cutting edge methods to development public realization, constructing larger instruments for monitoring the matter, and designing powerful interventions. This ebook examines the healthiness care security internet from the views of key companies and the populations they serve, together with: parts of the security internet - public hospitals, neighborhood clinics, neighborhood healthiness departments, and federal and kingdom courses. Mounting pressures at the process - emerging numbers of uninsured sufferers, decline in Medicaid eligibility because of welfare reform, expanding healthiness care entry obstacles for minority and immigrant populations, and extra. particular results for companies and their sufferers from the aggressive, controlled care atmosphere - detailing the evolution and influence of Medicaid controlled care. Key concerns highlighted in 4 populations are - youngsters with distinct wishes, individuals with critical psychological disorder, individuals with HIV/AIDS, and the homeless.

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Extra resources for America's Health Care Safety Net: Intact But Endangered

Sample text

The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. William A. Wulf is president of the National Academy of Engineering. The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education.

Historically, these providers have been able to cover most of their uncompensated care costs by shifting the costs to other payers. , 1999). This is placing even more pressure on an already strained safety net system. The rapid growth of Medicaid managed care is having many adverse effects. A number of core safety net providers operating in mandatory Medicaid managed care environments are experiencing a decline in Medicaid revenues because of a reduction in the absolute numbers of Medicaid beneficiaries, the diversion of some Medicaid beneficiaries to other providers, and lower payments by Medicaid managed care plans (Lefkowitz and Todd, 1999).

The recently passed Balanced Budget Refinement Act of 1999 places a 2-year moratorium on the scheduled repeal and extends the phaseout from 2003 to 2005. The 1999 Act also calls for a study to determine how CHCs Page 6 should be paid in subsequent years (National Association of Community Health Centers, 1999). , 1998; Norton and Lipson, 1998). With the decline and planned phaseout of federal subsidies, local revenues become increasingly important to the future viability of safety net providers.

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