Health Affairs

Posting date: May 22, 2002

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Health Affairs, 10.1377/hlthaff.w2.187
Copyright © 2003 by Project HOPE

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Health Policy For Low-Income People: States' Responses To New Challenges

John Holahan ^1*, Joshua M. Wiener ², Amy Westpfahl Lutzky ³

¹ John Holahan is director of the Health Policy Center at the Urban Institute.
² Joshua Wiener is a principal research associate at the Urban Institute.
³ Amy Westpfahl Lutzky is a research associate at the Urban Institute.

^*Corresponding author.

Abstract

The past five years have given states new opportunities in health policy for low-income people, with many changes increasing states' flexibility. However, new pressures on state policy also have arisen from a variety of factors, most recently from the economic downturn that has reduced revenues and increased demand for spending. This paper analyzes recent changes in health policy in the thirteen states that are the core of the Urban Institute's Assessing the New Federalism project, focusing on state fiscal conditions, health care coverage, acute care, and long-term care. Implications for the future are discussed.

Key Words: Long-Term Care, Health Spending, Medicaid, Access To Care, Managed Care--Medicaid, Insurance Coverage--Children, Pharmaceuticals, Home Care

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