Download America's Health Care Safety Net: Intact But Endangered by Institute of Medicine, Managed Care, and the Future PDF

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By Institute of Medicine, Managed Care, and the Future Viability of Safety Net Providers Committee on the Changing Market, Stuart Altman, Marion Ein Lewin

"America's health and wellbeing Care defense internet" explains how festival and price concerns in cutting-edge health and wellbeing care market are posing significant demanding situations to endured entry to deal with America's bad and uninsured. At a time while policymakers and companies are urgently looking suggestions, the committee recommends concrete ideas for keeping the viability of the security web - with leading edge methods to development public awareness, constructing larger instruments for monitoring the matter, and designing potent interventions. This ebook examines the well-being care defense internet from the views of key prone and the populations they serve, together with: parts of the security internet - public hospitals, group clinics, neighborhood healthiness departments, and federal and country courses. Mounting pressures at the process - emerging numbers of uninsured sufferers, decline in Medicaid eligibility because of welfare reform, expanding well-being care entry obstacles for minority and immigrant populations, and extra. particular outcomes for companies and their sufferers from the aggressive, controlled care setting - detailing the evolution and influence of Medicaid controlled care. Key matters highlighted in 4 populations are - youngsters with detailed wishes, individuals with severe psychological disorder, individuals with HIV/AIDS, and the homeless.

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Extra resources for America's Health Care Safety Net: Intact But Endangered

Example text

C. Page xiv KEVIN GRUMBACH, Chief, Family and Community Medicine, San Francisco General Hospital/Community Health Network and Vice-Chair, Department of Family and Community Medicine, University of California at San Francisco ROBERT HURLEY, Associate Professor, Department of Health Administration, Medical College of Virginia,Virginia Commonwealth University RONDA KOTELCHUCK, Executive Director, Primary Care Development Corporation, New York City JOSEPH P. NEWHOUSE, John D. MacArthur Professor of Health Policy and Management, Harvard University MARK V.

Special words of thanks go to Bonnie Lefkowitz for her unstinting generosity in helping the committee identify and analyze needed data. The contributions of Richard Bohrer, Wayne Meyers, and Robert Politzer were also greatly appreciated. The committee also is greatly indebted to Medi-Cal Policy Institute in Oakland, California, and The Commonwealth Fund of New York for sponsoring regional meetings in California and New York, respectively, that helped the committee gain a firsthand understanding of the diversity Page x of safety net organizations across the country.

These dynamics and their potential impact on access to care for the nation's uninsured and most disadvantaged populations call for more concerted public policy attention and concrete action. In light of these considerations, the committee offers the following findings and recommendations (described in greater detail in Chapter 7 of this report): Major Findings Finding 1. The shift to Medicaid managed care can have adverse effects on core safety net providers and the uninsured and other vulnerable populations who rely on them for care.

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