Medicaid Policy Changes in Kentucky under the Deficit Reduction Act of 2005

Journal Article

Medicaid Policy Changes in Kentucky under the Deficit Reduction Act of 2005

Implementation Issues and Remaining Challenges

Abstract

Kentucky implemented numerous Medicaid policy changes under authority granted by the Deficit Reduction Act of 2005, which allowed greater flexibility in benefit design and cost-sharing. This case study describes these changes and explores their impacts, along with the political, regulatory, and institutional environments that shaped these impacts. While Kentucky succeeded in meeting some of the original goals of the policy changes, further Medicaid changes would be needed to have major impacts on costs and beneficiary behaviors; however, such changes will likely be heavily dependent on how Kentucky weathers the current economic downturn and on the policy changes the state makes associated with federal health reform efforts.

Research Area: 

Centers

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