TY - JOUR
T1 - Popular medicaid programs do battle with state budget pressures
T2 - Perspectives from twelve states
AU - Hoadley, John F.
AU - Cunningham, Peter
AU - McHugh, Megan
N1 - Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2004
Y1 - 2004
N2 - Many are concerned that growth of state Medicaid and State Children's Health Insurance Program (SCHIP) spending, along with limited political clout among beneficiaries, make these programs extremely vulnerable in periods of serious state budget constraints. But observations based on Community Tracking Study site visits show that states have thus far largely avoided major cuts that would seriously harm beneficiaries' access, primarily because programs have more support among coalitions of public officials, health care providers, and local advocates than commonly assumed. However, the limits to this surprising level of support are exemplified by decisions in many states to shelve some planned future expansions indefinitely.
AB - Many are concerned that growth of state Medicaid and State Children's Health Insurance Program (SCHIP) spending, along with limited political clout among beneficiaries, make these programs extremely vulnerable in periods of serious state budget constraints. But observations based on Community Tracking Study site visits show that states have thus far largely avoided major cuts that would seriously harm beneficiaries' access, primarily because programs have more support among coalitions of public officials, health care providers, and local advocates than commonly assumed. However, the limits to this surprising level of support are exemplified by decisions in many states to shelve some planned future expansions indefinitely.
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U2 - 10.1377/hlthaff.23.2.143
DO - 10.1377/hlthaff.23.2.143
M3 - Review article
C2 - 15046138
AN - SCOPUS:1842780030
VL - 23
SP - 143
EP - 154
JO - Health affairs (Project Hope)
JF - Health affairs (Project Hope)
SN - 0278-2715
IS - 2
ER -