Health Affairs, 22, no. 1 (2003): 45 doi: 10.1377/hlthaff.22.1.45 © 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: Cost Versus Need

PROLOGUE

Medicaid: Cost Versus Need

PROLOGUE: It is easy enough to pay lip service to the notion that all of the sprawling, disparate elements of the health system are intricately interconnected with each other and with a vast web of environmental influences. In practice, though, we rarely have time to stop and take stock of all of the indirect factors that bear on specific problems rising to our attention. In the case of Medicaid, periodic crises in access or financing are usually attributed to endogenous causes—flaws in the program itself. Its problems are blamed on too-rich benefits, too-poor provider payments, not enough managed care, or . . . [Full Text of this Article]

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