States' Responses to New Challenges
Publication Date: May 01, 2002
Permanent Link:
http://www.urban.org/url.cfm?ID=1000350
The past five years have given states new opportunities in health policy for low-income people, with many changes increasing states' flexibility. However, new pressures on state policy also have arisen from a variety of factors, most recently from the economic downturn that has reduced revenues and increased demand for spending. This paper analyzes recent changes in health policy in the thirteen states that are the core of the Urban Institute's Assessing the New Federalism project, focusing on state fiscal conditions, health care coverage, acute care, and long-term care. The paper concludes that the economic slowdown places severe pressure on state health policy but that these pressures will not end with the recession. Many problems are long term in nature – rising drug expenditures, the erosion of managed care's impact, quality of nursing home care and workforce shortage issues. These will all affect Medicaid spending and make it difficult for states to continue expanding coverage. (Health Affairs Web Exclusive 2002 May: 187-218)
Topics/Tags: | Health/Healthcare
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