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Medicaid expenditures and state responses.

C G Tudor1

  • 1Office of Research and Demonstrations, HCFA, Baltimore, MD 21207, USA.

Health Care Financing Review
|January 3, 1996
PubMed
Summary

This issue of Health Care Financing Review explores Medicaid spending growth and state-based financing strategies. It examines Section 1115 waivers and their role in state health reform initiatives.

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Area of Science:

  • Health Policy
  • Healthcare Economics
  • Public Health Administration

Background:

  • Medicaid expenditures have been rising, prompting states to seek innovative financing solutions.
  • State health reform efforts are increasingly incorporating federal waivers to achieve specific policy goals.

Purpose of the Study:

  • To provide an overview of key issues related to Medicaid and state health reform.
  • To analyze state strategies for managing Medicaid spending growth.
  • To examine the utilization and impact of Section 1115 demonstration waivers.

Main Methods:

  • Review of articles within the Health Care Financing Review focusing on Medicaid and state health reform.
  • Analysis of state experiences with implementing Section 1115 demonstrations.
  • Case studies of reform efforts in two specific states.

Main Results:

  • States are employing creative financing strategies to manage increasing Medicaid expenditures.
  • Section 1115 waivers are a significant tool within broader state health reform agendas.
  • Experiences with implementing demonstrations vary, offering insights into effective strategies.

Conclusions:

  • Medicaid financing and state-level reforms are complex and interconnected.
  • Section 1115 waivers play a crucial role in enabling state innovation in healthcare.
  • Understanding these dynamics is essential for effective healthcare policy and management.

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