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Centre for Policy on Ageing | |
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Policy choices for Medicaid and Medicare waivers | Author(s) | Walter Leutz |
Journal title | The Gerontologist, vol 39, no 1, February 1999 |
Pages | pp 86-93 |
Keywords | Health services ; Long term ; Finance [care] ; Policy ; United States of America. |
Annotation | This article reviews the authority and processes for issuing Medicare and Medicaid waivers, highlights waiver-based differences in US states' home- and community-based (HCB) service systems, and critiques emerging efforts to capitate, integrate and privatise the long-term care system. Potential pitfalls relate to payment rates, service substitution, accountability, and drains on HCB infrastructure. Before merging HCB services into larger pre-paid systems, policy-makers are advised to examine implementation challenges, resist ad hoc fixes, and strengthen current infrastructure. (RH). |
Accession Number | CPA-990331228 A |
Classmark | L: 4Q: QC: QAD: 7T |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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