Health Affairs, 22, no. 1 (2003): 89 doi: 10.1377/hlthaff.22.1.89 © 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

PROLOGUE

Medicaid: Challenges Beneath The Surface

PROLOGUE: For two diverse populations of poor Americans—those with disabilities and those with mental disorders—Medicaid has served as the economic engine to dramatically shift financial and organizational structures. Both groups traditionally were served primarily by states in large public institutions. Then in the 1960s and 1970s both underwent deinstitutionalization, which pushed their care out of the institution and into the community. But it is the "Medicaidization" of the funding streams for care of these two groups that provided the necessary means to make this happen.

States jumped onto the Medicaid financial bandwagon. Here was a way to get the federal . . . [Full Text of this Article]

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