Medicaid and state-based programs

Abstract Medicaid has played a substantial role in providing health insurance coverage and benefits for many low-income families. However, rising costs pose a significant challenge to beneficiaries, providers, and state and federal governments. The Affordable Care Act, enacted in 2010, served to expand coverage, lower costs, and improve quality of care. As the landscape of healthcare continues to evolve, it is necessary to assess the status of Medicaid and discuss developments at the state and federal level. Our report examines the opportunities afforded by Medicaid expansion, the progress of healthcare reform in total joint arthroplasty, and our experience with the Affordable Care Act.

[1]  L. Gottlieb,et al.  Clinical interventions addressing nonmedical health determinants in Medicaid managed care. , 2016, The American journal of managed care.

[2]  R. Iorio,et al.  Bundled Payments: Our Experience at an Academic Medical Center. , 2016, The Journal of arthroplasty.

[3]  Hhs Centers for Medicare Medicare Services Medicare Program; Comprehensive Care for Joint Replacement Payment Model for Acute Care Hospitals Furnishing Lower Extremity Joint Replacement Services. Final rule. , 2015, Federal register.

[4]  Stephen M Shortell,et al.  Review of Medicare, Medicaid, and Commercial Quality of Care Measures: Considerations for Assessing Accountable Care Organizations. , 2015, Journal of health politics, policy and law.

[5]  Victoria Peebles,et al.  The HCBS taxonomy: a new language for classifying home- and community-based services. , 2014, Medicare & medicaid research review.

[6]  W. Golden,et al.  Health Policy Basics: Medicaid Expansion , 2014, Annals of Internal Medicine.

[7]  H. Harvey,et al.  The ephemeral accountable care organization-an unintended consequence of the Medicare shared savings program. , 2014, Journal of the American College of Radiology : JACR.

[8]  Sandra L. Decker Two-thirds of primary care physicians accepted new Medicaid patients in 2011-12: a baseline to measure future acceptance rates. , 2013, Health affairs.

[9]  D. Ross-Degnan,et al.  Active pharmaceutical management strategies of health insurance systems to improve cost-effective use of medicines in low- and middle-income countries: a systematic review of current evidence. , 2011, Health policy.

[10]  Cathy Schoen,et al.  How health insurance design affects access to care and costs, by income, in eleven countries. , 2010, Health affairs.

[11]  S. Kurtz,et al.  Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. , 2007, The Journal of bone and joint surgery. American volume.

[12]  M. Porter,et al.  Redefining Health Care: Creating Value-based Competition on Results , 2006 .