Health care in the United States. Volume 6 : developments and considerations / Leone Giangiulio, editor.

Format:

Book

Contributor:

Giangiulio, Leone, editor.

Series:

Health Care in the United States: Developments and Considerations

Health Care in the United States: Developments and Considerations, 2325-632x

Language:

English

Subjects (All):

Medical care--United States.

Medical care.

Medical policy--United States.

Medical policy.

Physical Description:

1 online resource (201 p.)

Place of Publication:

New York, [New York] : Nova Publishers, 2016.

Summary:

The health care reform debate in the United States raises many complex issues including those of coverage, accessibility, cost, accountability, and quality of health care. Underlying these policy considerations are issues regarding the status of health care as a constitutional or legal right. This book series analyzes the constitutional and legal issues pertaining to the right of health care and the power of Congress to enact and fund health care programs. Other topics discussed in this volume include the consequences of States' decisions not to expand Medicaid; a discussion on the distribution of expenditures among Medicaid-only enrollees; a description of how the Congressional Budget Office (CBO) estimates the budgetary effects of legislative proposals to reduce fraud in Medicare, Medicaid, and the Children's Health Insurance Program (CHIP), and how those estimates are used in the Congressional budget process; an overview of Office of Inspector General (OIG) investigations, audits, evaluations, and legal guidance related to Medicare Part D; a background and the federal tole in vaccine policy of the measles; prescription cholesterol-lowering medication use in adults aged 40 and over in the United States; and systems for rapidly detecting and treating persons with the Ebola virus.

Contents:

HEALTH CARE IN THE UNITED STATES DEVELOPMENTS AND CONSIDERATIONS VOLUME 6 ; HEALTH CARE IN THE UNITED STATES DEVELOPMENTS AND CONSIDERATIONS VOLUME 6 ; Library of Congress Cataloging-in-Publication Data; CONTENTS; PREFACE ; Chapter 1 MISSED OPPORTUNITIES: THE CONSEQUENCES OF STATE DECISIONS NOT TO EXPAND MEDICAID [UPDATED]* ; EXECUTIVE SUMMARY ; Direct Benefits of Expanded Insurance Coverage for the Newly Insured; Improved Access to Care ; Better Health and Longer Lives ; Greater Financial Security; Benefits of Expanding Medicaid for State Economies ; Higher Standard of Living

Greater Macroeconomic Resilience Healthier, More Productive Workers ; I. BACKGROUND ON STATES' OPTION TO EXPAND MEDICAID UNDER THE AFFORDABLE CARE ACT ; II. METHODOLOGY FOR ESTIMATING THE EFFECTS OF STATES' DECISIONS TO EXPAND MEDICAID; Effects on Insurance Coverage; Effects on Access to and Use of Medical Care ; Effects on Health Outcomes ; Effects on Financial Security ; Effects on State Economies ; Higher Standard of Living; Greater Macroeconomic Resilience ; Healthier, More Productive Workers ; CONCLUSION ; REFERENCES

APPENDIX A: ESTIMATING THE AGE AND GENDER MIX OF INDIVIDUALS WHO WOULD GAIN COVERAGE IF THEIR STATE EXPANDS MEDICAIDAPPENDIX B: ESTIMATING EFFECTS ON FEDERAL OUTLAYS IF STATES EXPAND MEDICAID; End Notes ; Chapter 2 MEDICAID: A SMALL SHARE OF ENROLLEES CONSISTENTLY ACCOUNTED FOR A LARGE SHARE OF EXPENDITURES*; WHY GAO DID THIS STUDY ; WHAT GAO FOUND ; ABBREVIATIONS ; BACKGROUND; AMONG MEDICAID-ONLY ENROLLEES, A SMALL PERCENTAGE CONSISTENTLY ACCOUNTED FOR A LARGE PERCENTAGE OF EXPENDITURES

THE PROPORTIONS OF HIGH-EXPENDITURE MEDICAID-ONLY ENROLLEES IN SELECTED ELIGIBILITY AND OTHER CATEGORIES WERE CONSISTENT FROM 2009 THROUGH 2011 FOR HIGH-EXPENDITURE MEDICAID-ONLY ENROLLEES, THE DISTRIBUTION OF EXPENDITURES AMONG SERVICE CATEGORIES VARIED WIDELY ACROSS STATES ; AGENCY COMMENTS ; APPENDIX I: OBJECTIVES, SCOPE, AND METHODOLOGY ; APPENDIX II: DISTRIBUTION OF EXPENDITURES AMONG MEDICAID-ONLY ENROLLEES, FISCAL YEAR 2011 ; APPENDIX III: HIGH-EXPENDITURE MEDICAID-ONLY ENROLLEES IN DIFFERENT ELIGIBILITY GROUPS, FISCAL YEAR 2011

APPENDIX IV: HIGH-EXPENDITURE MEDICAID-ONLY ENROLLEES WITH CERTAIN CONDITIONS OR SERVICES, FISCAL YEAR 2011 APPENDIX V: HIGH-EXPENDITURE MEDICAID-ONLY ENROLLEES' EXPENDITURES IN DIFFERENT SERVICE CATEGORIES, FISCAL YEAR 2011 ; End Notes ; End Notes for Appendix I ; Chapter 3 HOW INITIATIVES TO REDUCE FRAUD IN FEDERAL HEALTH CARE PROGRAMS AFFECT THE BUDGET ; NOTE ; SUMMARY ; WHAT IS FRAUD? ; How Much Fraud Occurs in Federal Health Care Programs? ; How Extensive Are Current Efforts to Combat Fraud in Health Care Programs?

What Factors Affect CBO's Estimates of the Budgetary Effects of Antifraud Legislation?

Notes:

Description based upon print version of record.

Includes bibliographical references at the end of each chapters and index.

Description based on online resource; title from PDF title page (ebrary, viewed September 4, 2016).

ISBN:

1-63484-601-X