Health Affairs, 22, no. 1 (2003): 90-100 doi: 10.1377/hlthaff.22.1.90 © 2003 by Project HOPE	New Online   Pay Cuts For Medicare Docs   Access To Care Woes   Public Coverage More Efficient   Empowering Consumers

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Medicaid: Challenges Beneath The Surface

Where The Action Really Is: Medicaid And The Disabled

Discussions of Medicaid tend to focus on low-income children and their mothers and the institutionalized elderly as the principal beneficiaries, but Medicaid spends more on the nonelderly disabled than on any other group. In the past two decades Medicaid has helped finance the deinstitutionalization of the mentally retarded and a growing proportion of the mentally ill, but implementation of the Olmstead decision has deflected advocates’ attention from the more important issue of how managed care plans treat disabled Medicaid beneficiaries.

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