Centre for Policy on Ageing
 

 

Policy choices for Medicaid and Medicare waivers
Author(s)Walter Leutz
Journal titleThe Gerontologist, vol 39, no 1, February 1999
Pagespp 86-93
KeywordsHealth services ; Long term ; Finance [care] ; Policy ; United States of America.
AnnotationThis 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 NumberCPA-990331228 A
ClassmarkL: 4Q: QC: QAD: 7T

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