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Medicaid

The Healthcare system in the United States is in desperate need of significant reform. Policy makers should take decisive steps to move today's bureaucracy driven, heavily regulated third-party payment system to a new patient-centered system of consumer choice and real free-market competition.

 

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November 4, 2009
Federalization of Medicaid: Health Reform Bill Would Reduce State Authority
By Dennis G. Smith
(WebMemo #2678)
But under H.R. 3962, the ability of states to run Medicaid and SCHIP to reflect state variations and preferences would be substantially diminished.

 

October 30, 2009
Medicaid Funding of Abortion: Setting the Record Straight
By Dennis G. Smith
(WebMemo #2672)
Unless a specific prohibition on abortion funding is included in the final health care bill, the government will end up funding the procedure.

 

October 21, 2009
Health Care Bills' Medicaid Expansion: How States Can Lose the Battle Behind Closed Doors
By Dennis G. Smith
(WebMemo #2661)
The President wants federal taxpayers to pick up a greater share of the cost of the Medicaid expansion.

 

October 21, 2009
Why Congress Wants to Force More Americans into Medicaid
By Dennis G. Smith
(WebMemo #2662)
Congress's response to Medicaid's problems is not to fix them but rather to add another 14 million people to the program.

 

August 7, 2009
Health Care Reform in West Virginia: A Lesson from the States
By Dennis G. Smith
(WebMemo #2582)
West Virginia has experimented with Medicaid reform and has learned a lot about what those reforms accomplished.

 

July 21, 2009
Medicaid Expansion: The Impact of the House and Senate Health Bills
By Dennis G. Smith
(WebMemo #2554)
Further expansion of Medicaid would create new inequities among individuals, even within families.

 

May 15, 2009
The Obama Health Agenda: Impact on the States
By Dennis G. Smith
(WebMemo #2445)
The President's proposal for a Medicaid expansion and a public program expansion would be a step backward.

 

April 24, 2009
How Washington Pushes Americans into Low-Quality Health Care
By Jeet Guram and John S. O’Shea, M.D.
(Backgrounder #2264)
President Obama favors an expansion of government health insurance programs as a key component of his health care reform agenda. Because of the "crowd out" ...

 

January 26, 2009
SCHIP Bill: Top 10 Changes for Congress to Consider
By Dennis G. Smith
(WebMemo #2244)
In Congress's mad dash to expand the State Children's Health Insurance Program (SCHIP), it fails to correct the serious flaws buried in last year's SCHIP ...

 

January 22, 2009
How the House Stimulus Bill Undercuts Parental Authority
By Dennis G. Smith
(WebMemo #2237)
Buried in the economic stimulus legislation is a provision further undercutting parental authority and expanding control of taxpayer dollars by family planning clinics.

 

January 21, 2009
The House Stimulus Bill and Health Care Assistance for Unemployed Workers
By Nina Owcharenko
(WebMemo #2233)
If Congress is poised to extend health care assistance for unemployed workers as part of its economic stimulus proposal, it should do so in a ...

 

January 21, 2009
Bailing Out Medicaid: A Bad Solution
By Dennis G. Smith and Nina Owcharenko
(WebMemo #2235)
Congress should not throw good money after bad. But if Congress insists on writing bigger Medicaid checks for state officials—again—then it should take very specific ...

 

January 13, 2009
How to Reform Entitlement Spending: A Memo to President-elect Obama
By Brian M. Riedl and Alison Acosta Fraser
(Special Report #43)
President-Elect Obama, you based much of your presidential campaign on the promise of a better future for all Americans. A better future must be one ...

 

November 13, 2008
Consumer Direction in Medicaid and Opportunities for States
By Dennis G. Smith
(WebMemo #2129)
The Center for Medicare and Medicaid Services published a final Medicaid rule that permits Medicaid recipients to self-direct their own health care and supportive services. ...

 

September 26, 2008
State Medicaid Reform First - Before Payment Increases
By Dennis G. Smith
(WebMemo #2083)
Congress needs to get serious about Medicaid. To borrow a medical analogy: If a state is the patient, and Congress is its doctor, giving states ...

 

March 6, 2008
Congress Should Support HHS Efforts to Curtail Medicaid Mismanagement
By Nina Owcharenko
(WebMemo #1837)
Proposed regulations aim to prevent states from exploiting Medicaid's financing structure.

 

February 12, 2008
The President's Proposals for Medicaid and SCHIP: One Step Forward, One Step Back
By Nina Owcharenko
(WebMemo #1806)
Congress should embrace the President's proposals for Medicaid but reject the increase in SCHIP spending.

 

March 21, 2007
More Medicaid Means Less Quality Health Care
By John O'Shea, M.D., MPA
(WebMemo #1402)
Medicaid is expensive and rapidly becoming unaffordable in many states, while the quality of care it delivers is often substandard.

 

December 14, 2005
Congress's Budget Reconciliation Package Should Not Hinder Hospital Specialization
By Robert E. Moffit, Ph.D.
(WebMemo #940)
Blocking specialization would take aim directly at high-quality medical treatment, to the detriment of millions of Americans.

 

November 18, 2005
Florida and South Carolina: Two Serious Efforts to Improve Medicaid
By Nina Owcharenko
(WebMemo #920)
Bold action from two states to bring the principles of choice, personal control, and competition into Medicaid.

 

October 27, 2005
Baby Steps: Congressional Action on Medicaid Reform
By Nina Owcharenko
(WebMemo #898)
Some modest savings but fundamental reform is needed to save Medicaid.

 

October 6, 2005
The Looming Problem of Long-Term Care and Medicaid Spending
By Kirk A. Johnson, Ph.D.
(WebMemo #875)
The Medicaid Commission needs to come up with a way to promote private long-term care insurance.

 

September 26, 2005
Katrina's Victims Deserve Better than Medicaid
By Nina Owcharenko
(WebMemo #862)
Instead, Congress should help survivors maintain or obtain private health care coverage.

 

June 21, 2005
A Road Map for Medicaid Reform
By Nina Owcharenko
(Backgrounder #1863)
The best Medicaid policy would mainstream as many individuals and families as possible into private coverage and encourage self-direction for those the Medicaid safety net ...

 

June 15, 2005
Enhancing Federalism to Address Medicaid and the Uninsured
By Stuart M. Butler, Ph.D.
(Testimony )
Potential savings in Medicaid should be considered within the general goal of increasing coverage.

 

April 12, 2005
The Top Ten Reasons for Medicaid Reform
By Nina Owcharenko
(WebMemo #718)
Just ten?

 

March 30, 2005
Congress Should Get Serious About Medicaid
By Nina Owcharenko
(WebMemo #705)
The President's proposal would lay the foundation for Medicaid reform.

 

October 22, 2003
A New Direction for Medicaid
By Nina Owcharenko
(WebMemo #355)
Medicaid is in trouble. Budget shortfalls and the growing number of beneficiaries are forcing many states to reassess their Medicaid programs. Congress and states should ...

 

May 27, 2003
Government Controls on Access to Drugs: What Seniors Can Learn from Medicaid Drug Policies
By Derek Hunter
(Backgrounder #1655)
Seniors should realize that efforts to control costs in Medicare will likely tie the hands of physicians by limiting treatment options, as they have in ...

 

January 10, 2003
The Future of Medicaid: Consumer-Directed Care
By James Frogue
(Backgrounder #1618)
Arkansas, New Jersey, and Florida were the first states to be granted Section 1115 waivers to participate in a demonstration project designed to empower certain ...

 

April 18, 2002
Why Expanding Medicaid to Cover the Uninsured Is Not the Solution
By Nina Owcharenko
(Executive Memorandum #811)
Rather than expand Medicaid, a broken welfare program that promises more than it can deliver, Congress can directly help the uninsured get quality private coverage ...

 

April 27, 2000
How to Cope with the Coming Crisis in Long-Term Care
By Robert E. Moffit, Ph.D., Richard Teske, Stephen Moses
(Heritage Lecture #658)
As the baby boomers age the need for reform becomes more evident.

 

November 2, 1999
How States Can Use Federal Waivers to Help the Poor and Test Health Reforms
By Richard Teske
(Backgrounder #1337)
The nation's governors and state policymakers can play a key role in improving health care for millions of Americans.

 

April 23, 1999
How Governors Can Help Children to Get Private Health Insurance
By James Frogue
(Executive Memorandum #591)
Congress has provided the state governors with a way to help uninsured children to receive coverage through superior private health plans.

 

December 31, 1997
Kidcare Implementation: A Helpful Guide for the States
By Carrie J. Gavora
(FYI #168)
Recently enacted legislation establishing the State Children's Health Insurance Program (SCHIP)—often referred to as "kidcare"—will make $48 billion in taxpayer dollars available to the states ...

 

 
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Senior Research Fellow in Health Policy Studies, Domestic Policy

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