Citation URL: http://www.urban.org/DebraJLipson

There are two Highlights for each state. The Highlights that focus on health cover Medicaid, other public insurance programs, the health care marketplace, and the role of public providers. The Highlights capture policies in place and planned in 1996 and early 1997.

This report provides detailed descriptions of safety net health care systems and the market and policy circumstances in which safety net providers operate in eight communities across the United States. A brief overview of the safety net system and safety net provider responses to changes in competition provide a framework for assessing the current and future outlook for the safety net system in each community.

Despite significant changes in the market and policy environment, major safety net hospitals and clinics have so far been able to maintain their commitment to the uninsured. While several factors are making it harder for safety net providers to provide care to the uninsured, this paper finds that very few have closed and none of the major providers have reported reductions in their capacity to care for the uninsured. The authors identify and discuss three primary reasons for the resilience of these health care providers.

There are two Highlights for each state. The Highlights that focus on health cover Medicaid, other public insurance programs, the health care marketplace, and the role of public providers. The Highlights capture policies in place and planned in 1996 and early 1997.

There are two Highlights for each state. The Highlights that focus on health cover Medicaid, other public insurance programs, the health care marketplace, and the role of public providers. The Highlights capture policies in place and planned in 1996 and early 1997.

The state reports describe the safety net and health care programs in place for low-income people on the eve of welfare reform. The reports also analyze the particular circumstances that are shaping the state's response to the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA). The state reports are based on case studies in the respective state.

The state reports describe the safety net and health care programs in place for low-income people on the eve of welfare reform. The reports also analyze the particular circumstances that are shaping the state's response to the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA). The state reports are based on case studies in the respective state.

To gain a better understanding of how states are using their Medicaid programs to expand access and control health care costs, a series of case studies were conducted in eight states that are using or intend to use Medicaid as a part of their health care reforms. The report explores several dimensions of state reform efforts in the case studies, including changes in eligibility requirements, the use of managed care, and changes in financing. The case studies also examined factors affecting the development and future of reform in each state.

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