Tenncare One State S Experiment With Medicaid Expansion

Author : Christina Bennett
Publisher : Vanderbilt University Press
Page : 257 pages
File Size : 52,9 Mb
Release : 2014-09-29
Category : Health & Fitness
ISBN : 9780826520043

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TennCare, One State's Experiment with Medicaid Expansion by Christina Bennett Pdf

A history of the struggle among competing stakeholders in one of the oldest and most controversial experiments in US health care policy, a precursor to ObamacareIn 1993, Tennessee launched a reform initiative designed to simultaneously expand the proportion of residents with health insurance and curtail cost increases. It was guided by principles that nearly match those that guided the creation of the Affordable Care Act, also known as Obamacare. Like the ACA, TennCare used corporations, rather than a single government payer, to implement the plan, and it relied on a mix of managed care, market competition, and government regulation. While many states cut back on their Medicaid enrollments from 1993 to 2001, TennCare grew from 750,000 to 1.47 million enrollees. The state was less successful in controlling costs, however. Each major stakeholder group (the state, the managed care organizations, the providers, and the enrollees and their advocates) pushed back against parts of the state's strategy that adversely affected their interests, and they eventually dismantled the mechanisms of cost constraint. The author lays out the four stakeholder perspectives for each period in the history of TennCare and provides a link to difficult-to-access primary documents.

Author : Christina Juris Bennett
Publisher : Vanderbilt University Press
Page : 308 pages
File Size : 44,8 Mb
Release : 2014-09-29
Category : Health & Fitness
ISBN : 9780826502933

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TennCare, One State's Experiment with Medicaid Expansion by Christina Juris Bennett Pdf

A history of the struggle among competing stakeholders in one of the oldest and most controversial experiments in US health care policy, a precursor to Obamacare. In 1993, Tennessee launched a reform initiative designed to simultaneously expand the proportion of residents with health insurance and curtail cost increases. It was guided by principles that nearly match those that guided the creation of the Affordable Care Act, also known as Obamacare. Like the ACA, TennCare used corporations, rather than a single government payer, to implement the plan, and it relied on a mix of managed care, market competition, and government regulation. While many states cut back on their Medicaid enrollments from 1993 to 2001, TennCare grew from 750,000 to 1.47 million enrollees. The state was less successful in controlling costs, however. Each major stakeholder group (the state, the managed care organizations, the providers, and the enrollees and their advocates) pushed back against parts of the state's strategy that adversely affected their interests, and they eventually dismantled the mechanisms of cost constraint. The author lays out the four stakeholder perspectives for each period in the history of TennCare and provides a link to difficult-to-access primary documents.

Author : Jonathan M. Metzl
Publisher : Basic Books
Page : 354 pages
File Size : 46,9 Mb
Release : 2019-03-05
Category : Social Science
ISBN : 9781541644960

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Dying of Whiteness by Jonathan M. Metzl Pdf

A physician's "provocative" (Boston Globe) and "timely" (Ibram X. Kendi, New York Times Book Review) account of how right-wing backlash policies have deadly consequences -- even for the white voters they promise to help. In election after election, conservative white Americans have embraced politicians who pledge to make their lives great again. But as physician Jonathan M. Metzl shows in Dying of Whiteness, the policies that result actually place white Americans at ever-greater risk of sickness and death. Interviewing a range of everyday Americans, Metzl examines how racial resentment has fueled progun laws in Missouri, resistance to the Affordable Care Act in Tennessee, and cuts to schools and social services in Kansas. He shows these policies' costs: increasing deaths by gun suicide, falling life expectancies, and rising dropout rates. Now updated with a new afterword, Dying of Whiteness demonstrates how much white America would benefit by emphasizing cooperation rather than chasing false promises of supremacy. Winner of the Robert F. Kennedy Book Award

Author : Sekou M. Franklin,Ray Block (Jr.)
Publisher : University of Georgia Press
Page : 269 pages
File Size : 42,9 Mb
Release : 2020
Category : Political Science
ISBN : 9780820356051

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Losing Power by Sekou M. Franklin,Ray Block (Jr.) Pdf

THE DEEP ROOTS OF POLARIZATION IN TENNESSEE -- Race and Polarization -- Black Politics in Tennessee from the -- Antebellum Period to the Twenty-First Century -- REALIGNMENT OF PARTISAN POLITICS IN TENNESSEE -- Race, Electoral Realignment, and Polarization -- The Legislative Behavior of -- Tennessee's Black Lawmakers -- RACE AND POLARIZATION IN RECENT TENNESSEE POLITICS: THE ISSUES -- The Racial Politics of Tax and Spending Policies -- The Rise and Fall of TennCare -- Immigration and the New Tennesseans -- Controversies and Conflicts over Sentencing -- Policies and the Death Penalty.

Author : Manish K. Sethi,William H. Frist
Publisher : Springer Science & Business Media
Page : 261 pages
File Size : 55,5 Mb
Release : 2013-08-04
Category : Medical
ISBN : 9781461477358

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An Introduction to Health Policy by Manish K. Sethi,William H. Frist Pdf

Based on the current climate of our nation’s finances and healthcare spending, it is clear that young doctors and medical students are likely to see a dramatic transformation of the manner in which America offers medical care to its citizens over the course of their careers. As such, it is pivotal that the next generation of America’s leaders on the front lines of medicine develop a sense of where healthcare has evolved from and future potential directions of change. An Introduction to Health Policy: A Primer for Physicians and Medical Students is the first of its kind: a book written by doctors for doctors in order to allow busy physicians and medical students to quickly develop an understanding of the key issues facing American healthcare. This book seeks to efficiently and effectively educate physicians and medical students in a clinical context that they can understand on the past, present, and potential future issues in healthcare policy and the evolution of American healthcare. The reader will walk away from the book with the ability to discuss the fundamental issues in American healthcare with ease.

Author : United States. Congress. House. Committee on Ways and Means
Publisher : Unknown
Page : 192 pages
File Size : 52,6 Mb
Release : 2011
Category : Business & Economics
ISBN : UCSD:31822038358701

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Health Care Law's Impact on Jobs, Employers, and the Economy by United States. Congress. House. Committee on Ways and Means Pdf

Author : Anonim
Publisher : Unknown
Page : 236 pages
File Size : 45,7 Mb
Release : 2001
Category : Medical care
ISBN : RUTGERS:44008000373796

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Health Care Financing Review by Anonim Pdf

Author : Ronald C. Fisher
Publisher : Taylor & Francis
Page : 597 pages
File Size : 55,7 Mb
Release : 2022-11-21
Category : Business & Economics
ISBN : 9781000713350

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State and Local Public Finance by Ronald C. Fisher Pdf

State and Local Public Finance provides a comprehensive and sophisticated analysis of state and local government public finance practices and issues, using the basic tools of economics. This fifth edition maintains its focus on key local services such as education, health care, and transportation and brings in new coverage of land use and housing, applications from behavioral economics, and more international comparisons. This textbook provides an examination and analysis of public finance practices and problems in a federal fiscal system, focusing on the fiscal behavior and policies of state and local governments. Modern economic theory is applied to examine the way key institutions are used to produce and finance services and to provide evaluation of alternative policies. This stalwart text will continue to be invaluable reading for those who study public finance, local government finance, urban economics, public policy, and public administration.

Author : Solomon W. Polachek,Konstantinos Tatsiramos
Publisher : Emerald Group Publishing
Page : 280 pages
File Size : 43,7 Mb
Release : 2019-07-11
Category : Business & Economics
ISBN : 9781789738636

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Health and Labor Markets by Solomon W. Polachek,Konstantinos Tatsiramos Pdf

This volume investigates the relationship between a nation's health policies, employee health, and the resulting labor market outcomes. Containing nine original and innovative articles, it is a fundamental text for anyone interested in labor economics.

Author : United States. Congress. House. Committee on Veterans' Affairs
Publisher : Unknown
Page : 396 pages
File Size : 40,8 Mb
Release : 1995
Category : History
ISBN : UCR:31210013742075

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Fiscal Year 1996 Department of Veterans Affairs Budget by United States. Congress. House. Committee on Veterans' Affairs Pdf

Author : Steven J. Balla,William T. Gormley, Jr.
Publisher : CQ Press
Page : 358 pages
File Size : 40,6 Mb
Release : 2017-07-26
Category : Political Science
ISBN : 9781506348902

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Bureaucracy and Democracy by Steven J. Balla,William T. Gormley, Jr. Pdf

Given the influence of public bureaucracies in policymaking and implementation, Steven J. Balla and William T. Gormley assess their performance using four key perspectives—bounded rationality, principal-agent theory, interest group mobilization, and network theory—to help students develop an analytic framework for evaluating bureaucratic accountability. The new Fourth Edition of Bureaucracy and Democracy: Accountability and Performance provides a thorough review of bureaucracy during the Obama and Trump administrations, as well as new attention to state and local level examples and the role of bureaucratic values. ? New to this Edition: Interviews with two new cabinet secretaries—Christine Todd Whitman and Tom Ridge—with insightful quotes from them throughout the book. Added material on the battle over regulations, a battle that will loom large during the Trump administration, including midnight regulations and the Congressional Review Act. New examples demonstrate the activity and influence of constituencies of different kinds including the placing of women and minorities on US currency, a vignette that features the musical Hamilton, and the political protests surrounding the Dakota Access and Keystone XL pipelines. A new discussion of the privatization of roads, the pros and cons.

Author : Robert A. Moffitt
Publisher : University of Chicago Press
Page : 421 pages
File Size : 40,7 Mb
Release : 2016-11-18
Category : Business & Economics
ISBN : 9780226370507

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Economics of Means-Tested Transfer Programs in the United States, Volume I by Robert A. Moffitt Pdf

Few government programs in the United States are as controversial as those designed to help the poor. From tax credits to medical assistance, the size and structure of the American safety net is an issue of constant debate. These two volumes update the earlier Means-Tested Transfer Programs in the United States with a discussion of the many changes in means-tested government programs and the results of new research over the past decade. While some programs that experienced falling outlays in the years prior to the previous volume have remained at low levels of expenditure, many others have grown, including Medicaid, the Earned Income Tax Credit, the Supplemental Nutrition Assistance Program, and subsidized housing programs. For each program, the contributors describe its origins and goals, summarize its history and current rules, and discuss recipients’ characteristics and the types of benefits they receive. This is an invaluable reference for researchers and policy makers that features detailed analyses of many of the most important transfer programs in the United States.

Author : Monica J. Casper
Publisher : Rutgers University Press
Page : 270 pages
File Size : 42,9 Mb
Release : 2022-03-18
Category : Social Science
ISBN : 9781978825963

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Babylost by Monica J. Casper Pdf

The U.S. infant mortality rate is among the highest in the industrialized world, and Black babies are far more likely than white babies to die in their first year of life. Maternal mortality rates are also very high. Though the infant mortality rate overall has improved over the past century with public health interventions, racial disparities have not. Racism, poverty, lack of access to health care, and other causes of death have been identified, but not yet adequately addressed. The tragedy is twofold: it is undoubtedly tragic that babies die in their first year of life, and it is both tragic and unacceptable that most of these deaths are preventable. Despite the urgency of the problem, there has been little public discussion of infant loss. The question this book takes up is not why babies die; we already have many answers to this question. It is, rather, who cares that babies, mostly but not only Black and Native American babies, are dying before their first birthdays? More importantly, what are we willing to do about it? This book tracks social and cultural dimensions of infant death through 58 alphabetical entries, from Absence to ZIP Code. It centers women’s loss and grief, while also drawing attention to dimensions of infant death not often examined. It is simultaneously a sociological study of infant death, an archive of loss and grief, and a clarion call for social change.

Author : Janice Eberly,James H. Stock
Publisher : Brookings Institution Press
Page : 541 pages
File Size : 41,5 Mb
Release : 2020-08-25
Category : Business & Economics
ISBN : 9780815738299

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Brookings Papers on Economic Activity: Fall 2019 by Janice Eberly,James H. Stock Pdf

Brookings Papers on Economic Activity (BPEA) provides academic and business economists, government officials, and members of the financial and business communities with timely research on current economic issues. Contents: All Medicaid Expansions Are Not Created Equal: The Geography and Targeting of the Affordable Care Act Craig Garthwaite, John Graves, Tal Gross, Zeynal Karaca, Victoria Marone, and Matthew J. Notowidigdo Policies and Payoffs to Addressing America’s College Graduation Deficit Christopher Avery, Jessica Howell, Matea Pender, and Bruce Sacerdote The Optimal Inflation Target and the Natural Rate of Interest Philippe Andrade, Jordi Galí, Hervé Le Bihan, and Julien Matheron Inflation Dynamics: Dead, Dormant, or Determined Abroad? Kristen J. Forbes Macri’s Macro: The Elusive Road to Stability and Growth Federico Sturzenegger Progressive Wealth Taxation Emmanuel Saez and Gabriel Zucman

Author : Alan B. Cohen,David C. Colby,Keith A. Wailoo,Julian E. Zelizer
Publisher : Oxford University Press
Page : 256 pages
File Size : 53,5 Mb
Release : 2015-06-01
Category : Medical
ISBN : 9780190231552

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Medicare and Medicaid at 50 by Alan B. Cohen,David C. Colby,Keith A. Wailoo,Julian E. Zelizer Pdf

For fifty years, Medicare and Medicaid have stood at the center of a contentious debate surrounding American government, citizenship, and health care entitlement. In Medicare and Medicaid at 50, leading scholars in politics, government, economics, health policy, and history offer a comprehensive assessment of the evolution of these programs and their impact on society -- from their origins in the Great Society era to the current battles over the Affordable Care Act ("Obamacare"). These highly accessible essays examine Medicare and Medicaid from their origins as programs for the elderly and poor to their later role as a safety net for the middle class. Along the way, they have served as touchstones for heated debates about economics, social welfare, and the role of government. Medicare and Medicaid at 50 addresses key questions for understanding the past and future of health policy in America, including: · What were the origins for these initiatives, and how were they transformed over time? · What marks have Medicare and Medicaid left on society? · In what ways have these programs produced innovation, even in eras of retrenchment? · How did Medicaid, once regarded as a poor person's program, expand its benefits and coverage over the decades to become the platform for the ACA's future expansion? The volume's contributors go on to examine the powerful role of courts in these transformations, along with the shifting roles of Congress, public opinion, and state governors in the programs' ongoing evolution. From Lyndon Johnson to Barack Obama on the left, and from Ronald Reagan to George W. Bush on the right, American political leaders have tied their political fortunes to the fate of America's entitlement programs; Medicare and Medicaid at 50 helps explain why, and how those ongoing debates are likely to shape the future of the Affordable Care Act.