America's Health Care Safety Net


Book Description

America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety netâ€"with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the systemâ€"rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environmentâ€"detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populationsâ€"children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.




Medicaid Managed Care


Book Description







Health and Health Care Policy


Book Description

Chapters conclude with "Highlights" and "References;" most also contain "Websites." Preface I National Health and Mental Health Policy in the U.S. 1 Efforts to Establish National Health Insurance: 1865-1946 The Welfare State in the U.S Historical Determinants Early Efforts to Establish National Health and Mental Health Care Policy and Services: 1865-1912 Efforts to Enact Compulsory Health Insurance: 1912-1920 Federal-State Reforms and Private Insurance: 1920-1932 The New Deal Reforms: 1932-1940 Federal Health and Mental Health Policy and Services: 1941-1946 2 The Emergence of Employment-Based Insurance and Managed Care: 1943-Present Political Opposition to National Health Insurance: 1943-1950 The Defeat of National Health Care Legislation: 1943-1949 The Political Battle to Enact Medicare: 1950-1965 Health Care Inflation and Strategies for Reform:1970-1988 The Creation and Role of Community Mental Health Centers: 1963-1992 The Decline of Community Mental Health: 1980-1992 The Rise and Fall of the Health Security Act: 1988-1996 Aftermath of the Health Security Act II The U.S Health Care System Today 3 Access to Care Health Insurance Coverage in the U.S The Uninsured Population in the U.S Health Insurance and Utilization of Services 4 The Growth and Development of Managed Care The Health Maintenance Act (HMO) of 1973 From HMOs to Managed Care From Managed Care to Managed Competition Managed Care Backlash Managed Care and Medicare Managed Care and Medicaid Managed Behavioral Health Care The Future of Managed Care 5 Medicare and Medicaid Medicare Beneficiaries Managed Care and Medicare Benefits and Financing Recipients III At-Risk and Underserved Populations 6 Disparities in Health: People of Color Measuring Health Disparities African Americans HIV/AIDS Latina/os (Hispanics) Asian Americans and Pacific Islanders Native Americans Environmental Health Risks Racial Differences in the Delivery of Medical Care 7 Disparities in Health: Gender and Age-Based Differences Women and Infants Children and Adolescents Elderly IV Future Directions 8 Inequality Is Bad for Your Health: A Framework for Health Policy What Is Health? Determinants of Health The Biopsychosocial Perspective The Social Determinants of Health Implications for Health Policy and Social Work Glossary of Terms Index.







Managed Care in the Inner City


Book Description

This seminal book for managed care and health care executives addresses the issues of managed care among low-income and other vulnerable populations. Andrulis and his colleagues show how we can create programs that succeed, from a policy and a health care management perspective.







Medicaid Managed Care


Book Description

Examines the extent to which states are implementing Medicaid prepaid managed care programs for disabled beneficiaries, & the steps that have been taken to safeguard the interests of the three stakeholder groups (disabled beneficiaries who may be less able than others to effectively advocate on their own behalf; the prepaid care plans which are concerned about the amount of financial risk involved in treating people with extensive medical needs; & the states & Federal government, which run Medicaid, which totaled $159 billion in FY 1995.




Remaking Medicaid


Book Description

Written for health care executives, physicians, nurses, policymakers, health services researchers, and scholars, Remaking Medicaid offers a vision of the future to which conscientious policymakers and provider organizations, working together, can aspire.