Health Affairs, 22, no. 1 (2003): 46-61 doi: 10.1377/hlthaff.22.1.46 © 2003 by Project HOPE	New Online   Pay Cuts For Medicare Docs   Access To Care Woes   Public Coverage More Efficient   Empowering Consumers

This Article Figures Only Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (16) Citing Articles via Google Scholar Google Scholar Articles by Boyd, D. J. Search for Related Content PubMed Articles by Boyd, D. J. Related Collections Medicaid State/Local Issues Health Spending Politics

Medicaid: Cost Versus Need

The Bursting State Fiscal Bubble And State Medicaid Budgets

States make policy choices about Medicaid eligibility, benefits, and reimbursement rates in the context of the larger state fiscal environment. This paper reviews the factors that made this environment so favorable in the 1990s and examines the state budget outlook. State tax revenue is likely to grow more slowly in this decade than in the last, states will face continued substantial pressures to finance K–12 and higher education, and Medicaid spending has accelerated. States will have to curtail the growth of Medicaid, raise revenue, or constrain growth in education spending to maintain balanced budgets.

                      What's this?

This article has been cited by other articles:

				M. Kitchener, T. Ng, and C. Harrington Medicaid Home and Community-Based Services for the Elderly: Trends in Programs and Policies Journal of Applied Gerontology, June 1, 2007; 26(3): 305 - 324. [Abstract] [PDF]

				S. K. Pandey and B. E. Wright Connecting the Dots in Public Management: Political Environment, Organizational Goal Ambiguity, and the Public Manager's Role Ambiguity J. Public Adm. Res. Theory., October 1, 2006; 16(4): 511 - 532. [Abstract] [Full Text] [PDF]

				R. R. Bovbjerg and L. R. Tancredi Liability Reform Should Make Patients Safer: "Avoidable Classes of Events" are a Key Improvement J. Law Med. Ethics, September 1, 2005; 33(3): 478 - 500. [PDF]

				M. Kitchener, T. Ng, N. Miller, and C. Harrington Medicaid Home And Community-Based Services: National Program Trends Health Aff., January 1, 2005; 24(1): 206 - 212. [Abstract] [Full Text] [PDF]