000			02914 a2200361 4500
001			1138194077
005			20250317100352.0
008			250312042015GB eng
020			_a9781138194076
037			_bTaylor & Francis _cGBP 39.99 _fBB
040			_a01
041			_aeng
072	7		_aJPP _2thema
072	7		_aMBN _2thema
072	7		_aJPR _2thema
072	7		_aJPH _2thema
072	7		_a1KBB _2bisac
072	7		_aJPP _2bic
072	7		_aMBN _2bic
072	7		_aJPR _2bic
072	7		_aJPH _2bic
072	7		_a1KBB _2bisac
072	7		_aPOL020000 _2bisac
072	7		_aPOL000000 _2bisac
072	7		_aPOL028000 _2bisac
072	7		_a368.4200973 _2bisac
100	1		_aEdward Alan Miller
245	1	0	_aBlock Granting Medicaid _bA Model for 21st Century Health Reform?
250			_a1
260			_aOxford _bRoutledge _c20151201
300			_a252 p
520			_bMedicaid 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.
999			_c284 _d284