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Medicaid At 50: Remarkable Growth Fueled By Unexpected Politics.
- Source :
-
Health Affairs . Jul2015, Vol. 34 Issue 7, p1084-1091. 8p. - Publication Year :
- 2015
-
Abstract
- Medicaid has grown exponentially since the mid-1980s, during both conservative Republican and liberal Democratic administrations. How has this happened? The answer is rooted in three political variables: interest groups, political culture, and American federalism. First, interest-group support (from hospitals, nursing homes, and insurers) is more influential than the fragmented group opposition (from underpaid office-based physicians). Second, Medicaid provides a partial counterweight to conservative charges of a federal health care takeover because of the states' roles in administering the program. Third, Medicaid's intergovernmental fiscal partnership creates financial incentives for state and federal officials to expand enrollment--expansions that these policy makers often favor, given the program's increasingly important role in the nation's health care system. This institutional dynamic is here called catalytic federalism. [ABSTRACT FROM AUTHOR]
- Subjects :
- *COST control
*COST effectiveness
*FEDERAL government
*HEALTH care rationing
*HEALTH care reform
*HEALTH services accessibility
*INSURANCE
*MANAGED care programs
*MEDICAID
*MEDICAL care
*HEALTH policy
*MEDICALLY uninsured persons
*PRACTICAL politics
*POVERTY
*STATE governments
*HEALTH insurance reimbursement
*GOVERNMENT programs
*STATE health plans
MEDICAID statistics
PATIENT Protection & Affordable Care Act
Subjects
Details
- Language :
- English
- ISSN :
- 02782715
- Volume :
- 34
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- Health Affairs
- Publication Type :
- Academic Journal
- Accession number :
- 108315420
- Full Text :
- https://doi.org/10.1377/hlthaff.2015.0083