By Institute of Medicine, Managed Care, and the Future Viability of Safety Net Providers Committee on the Changing Market, Stuart Altman, Marion Ein Lewin
"America's healthiness Care defense web" explains how festival and price concerns in contemporary overall healthiness care industry are posing significant demanding situations to persevered entry to deal with America's terrible and uninsured. At a time while policymakers and prone are urgently looking counsel, the committee recommends concrete recommendations for conserving the viability of the protection internet - with leading edge methods to construction public consciousness, constructing greater instruments for monitoring the matter, and designing potent interventions. This ebook examines the overall healthiness care security internet from the views of key services and the populations they serve, together with: elements of the security web - public hospitals, neighborhood clinics, neighborhood future health departments, and federal and country courses. Mounting pressures at the method - emerging numbers of uninsured sufferers, decline in Medicaid eligibility because of welfare reform, expanding health and wellbeing care entry boundaries for minority and immigrant populations, and extra. particular results for services and their sufferers from the aggressive, controlled care surroundings - detailing the evolution and influence of Medicaid controlled care. Key concerns highlighted in 4 populations are - young ones with precise wishes, individuals with severe psychological affliction, individuals with HIV/AIDS, and the homeless.
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Extra info for America's Health Care Safety Net: Intact But Endangered
Historically, these providers have been able to cover most of their uncompensated care costs by shifting the costs to other payers. , 1999). This is placing even more pressure on an already strained safety net system. The rapid growth of Medicaid managed care is having many adverse effects. A number of core safety net providers operating in mandatory Medicaid managed care environments are experiencing a decline in Medicaid revenues because of a reduction in the absolute numbers of Medicaid beneficiaries, the diversion of some Medicaid beneficiaries to other providers, and lower payments by Medicaid managed care plans (Lefkowitz and Todd, 1999).
In the absence of agreement on broader health care reform and with growing demand for charity care, the committee came to feel strongly that our nation's core safety net provider system needs to be sustained and protected. At the same time, the committee realized the importance of encouraging safety net providers to actively embrace the positive aspects of current change, including incentives to develop more integrated and accountable delivery systems and a greater emphasis on performance and customer service.
Dr. William A. Wulf is president of the National Academy of Engineering. The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education.
America's Health Care Safety Net: Intact But Endangered by Institute of Medicine, Managed Care, and the Future Viability of Safety Net Providers Committee on the Changing Market, Stuart Altman, Marion Ein Lewin