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 well-being Care defense web" explains how festival and value matters in trendy future health care industry are posing significant demanding situations to persisted entry to take care of America's negative and uninsured. At a time while policymakers and companies are urgently looking information, the committee recommends concrete concepts for retaining the viability of the security web - with leading edge techniques to development public cognizance, constructing larger instruments for monitoring the matter, and designing powerful interventions. This booklet examines the health and wellbeing care safeguard web from the views of key services and the populations they serve, together with: parts of the security web - public hospitals, neighborhood clinics, neighborhood future health departments, and federal and country courses. Mounting pressures at the process - emerging numbers of uninsured sufferers, decline in Medicaid eligibility as a result of welfare reform, expanding healthiness care entry obstacles for minority and immigrant populations, and extra. particular outcomes for prone and their sufferers from the aggressive, controlled care surroundings - detailing the evolution and impression of Medicaid controlled care. Key matters highlighted in 4 populations are - young children with specified wishes, individuals with severe psychological disorder, individuals with HIV/AIDS, and the homeless.
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Additional resources for America's Health Care Safety Net: Intact But Endangered
Although they were not originally intended to subsidize care for the uninsured, Medicaid revenues have helped core safety net providers defray some of the overhead and infrastructure costs, Page 7 freeing limited grant funds and other revenues to be directed more to supporting care for the uninsured. Under the traditional Medicaid program, beneficiaries were responsible for finding a willing provider to care for them. In many communities, Medicaid-participating providers were few and far between and safety net providers were the only source of care for the poor.
These observations were reinforced by a number of articles, evaluations, and research papers that highlighted the promise and problems of Medicaid managed care in a more competitive, performance-based environment. In most cases, these studies concluded that the promise has not yet been fully realized and that the problems, although worrisome, have not yet reached crisis proportions. In summary, the committee finds that core safety net providers in most communities are experiencing the adverse effects of many forces.
Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Bruce M. Alberts and Dr. William A. Wulf are chairman and vice chairman, respectively, of the National Research Council.
America's Health Care Safety Net: Intact But Endangered by Institute of Medicine, Managed Care, and the Future Viability of Safety Net Providers Committee on the Changing Market, Stuart Altman, Marion Ein Lewin