Health Affairs, 26, no. 2 (2007): w254-w270 (Published online 23 February 2007) doi: 10.1377/hlthaff.26.2.w254 © 2007 by Project HOPE	New Online   How Would Obama, McCain Cover The Uninsured?   Debating Cost Of Uninsured   Try Medicare-For-All   HA Blog Top 10

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Toward Real Medicaid Reform

In this paper we argue that there is a real need for Medicaid reform primarily because of the large differences among states in coverage and benefits and because of the program’s high and rising costs. We describe and develop several options for Medicaid reform that would expand coverage, provide fiscal relief to states, shift responsibility for some or all of the care of dual eligibles to the federal government, and eliminate or restructure disproportionate-share hospital (DSH) payments. We conclude with a discussion on a number of other issues, particularly Medicaid cost containment and the federal matching payment structure.

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				A. Weil How Far Can States Take Health Reform? Health Aff., May 1, 2008; 27(3): 736 - 747. [Abstract] [Full Text] [PDF]