[Download] "Personal Responsibility: A Plausible Social Goal, But Not for Medicaid Reform (Essays)" by The Hastings Center Report # Book PDF Kindle ePub Free

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eBook details

• Title: Personal Responsibility: A Plausible Social Goal, But Not for Medicaid Reform (Essays)
• Author : The Hastings Center Report
• Release Date : January 01, 2008
• Genre: Life Sciences,Books,Science & Nature,
• Pages : * pages
• Size : 167 KB

Description

Since 2001, the Bush administration has encouraged states to incorporate "personal responsibility" measures in their Medicaid plans. These measures can take a number of forms. For example, since the early 1970s--long before the current reform efforts--some states have obtained waivers to impose higher out-of-pocket costs on beneficiaries. Other, newer proposals include health spending accounts that reward beneficiaries for demonstrating "healthy behaviors"; mandates that beneficiaries select their own health plan from several offered or lose coverage; and the use of "personal responsibility" pledges to which beneficiaries must adhere in order to receive "enhanced" benefits. The administration is promoting the measures through what are known as Section 1115 waivers--state-specific releases from federal program requirements to allow experimentation with the content or administration of Medicaid programs. More recently, the administration has also done so through state plan amendments newly permitted by the federal Deficit Reduction Act of 2005. Granting the features is very likely within the legal purview of the federal government, and seeking them appears to be legal for states. (1) Whether they represent good policy, however, is an open question.

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