America's health care safety net : intact but endangered / Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers ; Marion Ein Lewin and Stuart Altman, editors.

Format:

Book

Contributor:

Lewin, Marion Ein.

Altman, Stuart H.

Institute of Medicine (U.S.). Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers.

Language:

English

Subjects (All):

Medical assistance--United States.

Medical assistance.

Medical care--Needs assessment--United States.

Medical care.

Medically uninsured persons--United States.

Medically uninsured persons.

Poor--Medical care--United States.

Poor.

Physical Description:

1 online resource (308 p.)

Edition:

1st ed.

Place of Publication:

Washington, D.C. : Institute of Medicine : National Academy Press, c2000.

Language Note:

English

Summary:

America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety net-with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety net-public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the system-rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environment-detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populations-children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.

Contents:

""Cover""; ""Front Matter""; ""Preface""; ""Acknowledgments""; ""Reviewers""; ""Contents""; ""TABLES, FIGURES, AND BOXES""; ""Executive Summary""; ""1 Background and Overview""; ""2 The Core Safety Net and the Safety Net System""; ""3 Forces Affecting Safety Net Providers in a Changing Health Care Environment""; ""4 How Safety Net Providers Are Adapting to the New Environment""; ""5 The Impact of Change on Vulnerable Populations""; ""6 Safety Net Populations with Special Health and Access Needs""; ""7 Findings and Recommendations""; ""Appendixes""; ""A Committee Biographies""

""B Workshop Agenda""""C Workshop Participants""; ""D California Regional Meeting Agenda""; ""E California Regional Meeting Participants""; ""F New York Regional Meeting Agenda""; ""G New York Regional Meeting Participants""; ""H Rural Conference Call Participants""; ""I Acronyms""; ""Index""

Notes:

Description based upon print version of record.

Includes bibliographical references and index.

ISBN:

9780309172851

0309172853

9780309504492

030950449X

9780585317441

0585317445

OCLC:

923255817