Download or read book Medicaid Politics and Policy written by David G. Smith and published by Transaction Publishers. This book was released on 2015-06-30 with total page 451 pages. Available in PDF, EPUB and Kindle. Book excerpt: The story of Medicaid comes alive for readers in this strong narrative, including detailed accounts of important policy changes and extensive use of interviews. A central theme of the book is that Medicaid is a “weak entitlement,” one less established or effectively defended than Medicare or Social Security, but more secure than welfare or food stamps. In their analysis, the authors argue that the future of Medicaid is sound. It has the flexibility to be adapted by states as well as to allow for policy innovation. At the same time, the program lacks an effective mechanism for overall reform. They note Medicaid has become a source of perennial political controversy as it has grown to become the largest health insurance system in the country. The book’s dual emphasis on politics and policy is important in making the arcane Medicaid program accessible to readersand in distinguishing policy grounded in analysis from partisan ideology. This second edition features a new preface, three new chapters accounting for the changes to the Affordable Care Act, and an updated glossary.
Download or read book Medicaid Politics and Policy written by David G. Smith and published by Transaction Publishers. This book was released on 2011-12-31 with total page 459 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid is a story worth telling, one rooted in American history and shaped by its culture and institutions. It has dramatic interest, heroes and heroines, triumphs and tragedies. The authors make this story come alive for the reader by providing a strong connected narrative, detailed accounts of important policy changes, and extensive use of interviews with individuals close to events. They emphasize politics and policy along with history. History is important because Medicaid has developed incrementally, layer by layer, so that almost any provision or activity needs a historical gloss to understand it. The Medicaid program has been especially subject to outside political and policy influences: the state of the economy, trends in federalism, developments in health or welfare programs, and the electoral cycle. Politics helps us understand policy outcomes. But the two go together: a knowledge of policy helps understand what is at stake, and a knowledge of politics what is possible. A central theme of the book is that Medicaid is a "weak entitlement," one less established or effectively defended than Medicare or Social Security, but more secure than welfare or food stamps. Medicaid has the flexibility to adapt (or be adapted) as well as a capacity to defend incremental and opportunistic gains. At the same time, the program lacks an effective mechanism for overall reform. It has grown enormously since its inception to become the largest health insurance system in the country, a source of perennial complaint and, most recently, of continuing crisis. The dual emphasis upon politics and policy is important to make the arcane Medicaid program accessible to the reader, and to distinguish policy grounded in facts and analysis from partisan bombast and ideology. The result is an authoritative account and reference for those seeking to refresh a perspective or to look further.
Download or read book Medicaid Politics written by Frank J. Thompson and published by Georgetown University Press. This book was released on 2012-09-20 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid, one of the largest federal programs in the United States, gives grants to states to provide health insurance for over 60 million low-income Americans. As private health insurance benefits have relentlessly eroded, the program has played an increasingly important role. Yet Medicaid’s prominence in the health care arena has come as a surprise. Many astute observers of the Medicaid debate have long claimed that “a program for the poor is a poor program� prone to erosion because it serves a stigmatized, politically weak clientele. Means-tested programs for the poor are often politically unpopular, and there is pressure from fiscally conservative lawmakers to scale back the $350-billion-per-year program even as more and more Americans have come to rely on it. For their part, health reformers had long assumed that Medicaid would fade away as the country moved toward universal health insurance. Instead, Medicaid has proved remarkably durable, expanding and becoming a major pillar of America’s health insurance system. In Medicaid Politics, political scientist Frank J. Thompson examines the program’s profound evolution during the presidential administrations of Bill Clinton, George W. Bush, and Barack Obama and its pivotal role in the epic health reform law of 2010. This clear and accessible book details the specific forces embedded in American federalism that contributed so much to Medicaid’s growth and durability during this period. It also looks to the future outlining the political dynamics that could yield major program retrenchment.
Download or read book Entitlement Politics written by David G. Smith and published by Transaction Publishers. This book was released on with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: Entitlement Politics describes partisan attempts to shrink the size of government by targeting two major federal health care entitlements. Efforts to restructure or eliminate entitlements as such, and to privatize and decentralize programs, along with more traditional attempts to amend and reform Medicare and Medicaid have radically transformed policymaking with respect to these programs. However, they have failed to achieve fundamental or lasting reform. Smith combines historical narrative and case studies with descriptions of the technical aspects and dynamics of policymaking to help the consumer understand how the process has changed, evaluate particular policies and outcomes, and anticipate future possibilities. His account intentionally goes at some length into the substance of the programs, the policies that are involved, and the views of different protagonists about the major issues in the dispute. One unhealthy consequence of politicizing Medicare and Medicaid policy has been to separate public debate from the technical and organizational realities underlying issues of cost containment or program structure. Smith considers this development unfortunate, since it leaves even informed citizens unable to evaluate the claims being made. Ironically, strife over Medicare has complicated the political and policy issues in American life. Only a serious and genuine bipartisan effort bringing forth the best efforts of both political parties--and some of the best industry leaders and policy experts in the field--is likely to achieve genuine reform. The more people and parties know about the history, politics, and policies of these programs, the better our prospects for devising workable, equitable, and lasting solutions. This volume leads the way toward that understanding. David G. Smith is Richter Professor Emeritus of Political Science at Swarthmore College and has been a student of health policy since 1965. Among his books is an earlier study of health policy, Paying for Medicare.
Download or read book Medicaid written by Daniel Lanford and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Healthcare Politics and Policy in America 2014 written by Kant Patel and published by Routledge. This book was released on 2014-12-18 with total page 615 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive examination of the ways that health policy has been shaped by the political, socioeconomic, and ideological environment of the United States. The roles played by public and private, institutional and individual actors in designing the healthcare system are identified at all levels. The book addresses the key problems of healthcare cost, access, and quality through analyses of Medicare, Medicaid, the Veterans Health Administration, and other programs, and the ethical and cost implications of advances in healthcare technology. This fully updated fourth edition gives expanded attention to the fiscal and financial impact of high healthcare costs and the struggle for healthcare reform, culminating in the passage of the Affordable Care Act, with preliminary discussion of implementation issues associated with the Affordable Care Act as well as attempts to defund and repeal it. Each chapter concludes with discussion questions and a comprehensive reference list. Helpful appendices provide a guide to websites and a chronology. PowerPoint slides and other instructional materials are available to instructors who adopt the book.
Download or read book The Politics of Medicaid written by Laura Katz Olson and published by Columbia University Press. This book was released on 2010-06-02 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examining the social, political and economic factors that have shaped Medicaid, the author of The Political Economy of Aging: The State, Private Power, and Social Welfare helps readers understand the powerful interests that cause costs to swell and hold elected officials hostage.
Download or read book Artists of the Possible written by Matthew Grossmann and published by . This book was released on 2014 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: Policy change is not predictable from election results or public opinion. The amount, issue content, and ideological direction of policy depend on the joint actions of policy entrepreneurs, especially presidents, legislators, and interest groups. This makes policymaking in each issue area and time period distinct and undermines unchanging models of policymaking.
Download or read book Jonas and Kovner s Health Care Delivery in the United States 11th Edition written by James R. Knickman, PhD and published by Springer Publishing Company. This book was released on 2015-04-08 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Health care managers, practitioners, and students must both operate as effectively as they can within the daunting and continually evolving system at hand and identify opportunities for reform advances… Health Care Delivery in the United States has been an indispensable companion to those preparing to manage this balance. The present edition demonstrates once again why this volume has come to be so prized. It takes the long view – charting recent developments in health policy, and putting them side-by-side with descriptions and analysis of existing programs in the United States and abroad." —Sherry Glied, PhD, Dean and Professor of Public Service, NYU Wagner, From the Foreword This fully updated and revised 11th edition of a highly esteemed survey and analysis of health care delivery in the United States keeps pace with the rapid changes that are reshaping our system. Fundamentally, this new edition presents the realities that impact our nation’s achievement of the so-called Triple Aim: better health and better care at a lower cost. It addresses challenges and responses to the Affordable Care Act (ACA), the implementation of Obamacare, and many new models of care designed to replace outmoded systems. Leading scholars, practitioners, and educators within population health and medical care present the most up-to-date evidence-based information on health disparities, vulnerable populations, and immigrant health; nursing workforce challenges; new information technology; preventive medicine; emerging approaches to control health care costs; and much more. Designed for graduate and advanced undergraduate students of health care management and administration and public health, the text addresses all of the complex core issues surrounding our health care system in a strikingly readable and accessible format. Contributors provide an in-depth and objective appraisal of why and how we organize health care the way we do, the enormous impact of health-related behaviors on the structure, function, and cost of the health care delivery system, and other emerging and recurrent issues in health policy, health care management, and public health. The 11th edition features the writings of such luminaries as Michael K. Gusmano, Carolyn M. Clancy, Joanne Spetz, Nirav R. Shah, Michael S. Sparer, and Christy Harris Lemak, among others. Chapters include key words, learning objectives and competencies, discussion questions, case studies, and new charts and tables with concrete health care data. Included for instructors is an Instructor’s Manual, PowerPoint slides, Syllabus, Test Bank, Image Bank, Supplemental e-chapter on the ACA, and a transition guide bridging the 10th and 11th editions. Key Features: Integration of the ACA throughout the text, including a supplementary e-chapter devoted to this major health care policy innovation The implementation of Obamacare Combines acute and chronic care into organizations of medical care Nursing workforce challenges Health disparities, vulnerable populations, and immigrant health Strategies to achieve the Triple Aim (better health and better care at lower cost) New models of care including accountable care organizations (ACOs), patient homes, health exchanges, and integrated health systems Emerging societal efforts toward creating healthy environments and illness prevention Increasing incentives for efficiency and better quality of care Expanded discussion of information technology A new 5-year trend forecast
Download or read book Financing Medicaid written by Shanna Rose and published by University of Michigan Press. This book was released on 2013-08-30 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: Conventional wisdom holds that programs for the poor are vulnerable to instability and retrenchment. Medicaid, however, has grown into the nation’s largest intergovernmental grant program, accounting for nearly half of all federal funding to state and local governments. Medicaid’s generous open-ended federal matching grants have given governors a powerful incentive to mobilize on behalf of its maintenance and expansion, using methods ranging from lobbying and negotiation to creative financing mechanisms and waivers to maximize federal financial assistance. Perceiving federal retrenchment efforts as a threat to states’ finances, governors, through the powerful National Governors’ Association, have repeatedly worked together in bipartisan fashion to defend the program against cutbacks. Financing Medicaidengagingly intertwines theory, historical narrative, and case studies, drawing on sources including archival materials from the National Governors’ Association and gubernatorial and presidential libraries, Centers for Medicare and Medicaid Services data, the Congressional Record, and interviews.
Download or read book The Political Life of Medicare written by Jonathan Oberlander and published by University of Chicago Press. This book was released on 2003-06 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, bitter partisan disputes have erupted over Medicare reform. Democrats and Republicans have fiercely contested issues such as prescription drug coverage and how to finance Medicare to absorb the baby boomers. As Jonathan Oberlander demonstrates in The Political Life of Medicare, these developments herald the reopening of a historic debate over Medicare's fundamental purpose and structure. Revealing how Medicare politics and policies have developed since Medicare's enactment in 1965 and what the program's future holds, Oberlander's timely and accessible analysis will interest anyone concerned with American politics and public policy, health care politics, aging, and the welfare state.
Download or read book The Economics of Medicaid written by Jason J. Fichtner and published by Mercatus Center at George Mason University. This book was released on 2014-03-24 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid, originally considered an afterthought to Medicare, is today the largest health insurance provider in the United States. Under the Affordable Care Act, the Congressional Budget Office projects Medicaid enrollment to increase nearly 30 percent by 2024 and federal spending on the program to double over the next decade. For the states, Medicaid is already the largest single budget item, and its rapid growth threatens to further crowd out other spending priorities. In this collection of essays published by the Mercatus Center at George Mason University, nine experts discuss the escalating costs and consequences of a program that provides second-class health care at first-class costs. The authors begin with an explanation of Medicaid’s complex state-federal funding structure. Next, they examine how the system’s conflicting incentives discourage both cost savings and efficient care. The final chapters address the pros and cons of the most mainstream Medicaid reform proposals and offer alternative solutions. This book offers a timely assessment of how Medicaid works, its most problematic components, and how—or if—its current structure can be adequately reformed to provide quality care for those in need at sustainable costs. Contributors include: Joseph Antos, American Enterprise Institute Charles Blahous, Mercatus Center at George Mason University Darcy Nikol Bryan, MD, practicing physician James C. Capretta, Ethics and Public Policy Center Robert F. Graboyes, Mercatus Center at George Mason University June O’Neill, Baruch College, CUNY Nina Owcharenko, Heritage Foundation Thomas Miller, American Enterprise Institute
Download or read book Healthcare Politics and Policy in America written by Kant Patel and published by M.E. Sharpe. This book was released on 2014-04-25 with total page 459 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully updated, this new edition provides a comprehensive examination of the ways that health policy has been shaped by the political, socioeconomic, and ideological environment of the United States. The roles played by public and private, institutional and individual actors in designing the healthcare system are identified at all levels.
Download or read book Political Institutions and Elderly Care Policy written by T. Hieda and published by Springer. This book was released on 2012-06-26 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although most advanced industrialized countries are facing population aging and other social changes, public long-term care programs for the aged are remarkably diverse across them. This book accounts for the variations in elderly care policy by combining statistical analysis with historical case studies of Sweden, Japan and the USA.
Download or read book The Oxford Handbook of U S Social Policy written by Daniel Béland and published by Oxford Handbooks. This book was released on 2015 with total page 689 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook provides a survey of the American welfare state. It offers an historical overview of U.S. social policy from the colonial era to the present, a discussion of available theoretical perspectives on it, an analysis of social programmes, and on overview of the U.S. welfare state's consequences for poverty, inequality, and citizenship.
Download or read book Social Economic and Political Perspectives on Public Health Policy Making written by Gholipour, Rahmatollah and published by IGI Global. This book was released on 2016-02-09 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presently, the healthcare industry is grappling with many challenges both nationally and globally, including escalating costs, a move to a preventative care environment and a technology savvy patient with high expectations. To accommodate the changing health demands of the current global population, public healthcare policy must undergo a critical analysis. Social, Economic, and Political Perspectives on Public Health Policy-Making provides an extensive and rich compilation of research on the role of public policy in the healthcare sector and how policy reform will impact the future of healthcare delivery and administration. This research-based publication is composed of chapters from various international experts in the healthcare sector, focusing on the areas of healthcare access, quality, and value in the 21st century. Government agencies, policymakers, healthcare professionals, hospital administrators, and graduate-level students studying within the fields of government and healthcare administration will find this publication to be an essential resource.
Download or read book Trapped in America s Safety Net written by Andrea Louise Campbell and published by University of Chicago Press. This book was released on 2014-09-02 with total page 207 pages. Available in PDF, EPUB and Kindle. Book excerpt: A “remarkable” look at the flaws of the social safety net through one family’s personal tragedy and the Catch-22 financial disaster that followed (Deborah A. Stone, author of Policy Paradox). When Andrea Louise Campbell’s sister-in-law, Marcella Wagner, was run off the freeway by a hit-and-run driver, she was seven-and-a-half months pregnant. She survived—and, miraculously, the baby was born healthy. But that’s where the good news ends. Marcella was left paralyzed from the chest down. This accident was much more than just a physical and emotional tragedy. Like so many Americans, neither Marcella nor her husband, Dave, who worked for a small business, had health insurance. On the day of the accident, she was on her way to class for the nursing program through which she hoped to secure one of the few remaining jobs in the area with the promise of employer-provided insurance. Instead, the accident plunged the young family into the tangled web of means-tested social assistance. As a social policy scholar, Campbell thought she knew a lot about means-tested assistance programs. What she quickly learned was that missing from most government manuals and scholarly analyses was an understanding of how these programs actually affect the lives of the people who depend on them. Using Marcella and Dave’s situation as a case in point, she reveals the programs’ shortcomings in this book. Because American safety net programs are designed for the poor, the couple first had to spend down their assets and drop their income to near-poverty level before qualifying for help. What’s more, to remain eligible, they’ll have to stay under these strictures for the rest of their lives, barred from doing many of the things middle-class families are encouraged to do: Save for retirement. Build an emergency fund. Take advantage of tax-free college savings. And, while Marcella and Dave’s story is tragic, the financial precariousness they endured even before the accident is all too common in America, where the prevalence of low-income work and unequal access to education have generated vast—and growing—economic inequality. The implementation of the ACA has cut the number of uninsured and underinsured and reduced some disparities in coverage, but continues to leave too many people open to tremendous risk. Behind the statistics and beyond the ideological battles are human beings whose lives are stunted by policies that purport to help them. In showing how and why this happens, Trapped in America’s Safety Net offers a way to change it. “An engaging narrative account of how social assistance programs shape real people’s lives. Campbell is authoritative and scholarly, yet warm and personal—a rare combination one sees in the likes of Oliver Sacks and Barbara Ehrenreich.” —Deborah A. Stone, author of Policy Paradox “Makes a compelling case for a stronger, more integrated, and ultimately more effective strategy for helping the millions of Americans who find themselves plummeting out of the insecure middle class.” —Jacob S. Hacker, New York Times–bestselling coauthor of Winner-Take-All Politics
