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Medicaid waiver

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Journal Article
J Health Polit Policy Law (2017) 42 (6): 1039–1064.
Published: 01 December 2017
...Marian Jarlenski; Philip Rocco; Renuka Tipirneni; Amy Jo Kennedy; Nivedita Gunturi; Julie Donohue Abstract Since the Supreme Court decided that the Affordable Care Act's (ACA) Medicaid expansion is optional for the states, several have obtained federal approval to use Section 1115 waivers to expand...
FIGURES
Journal Article
J Health Polit Policy Law (2014) 39 (5): 1089–1098.
Published: 01 October 2014
... and Affordable Care Act–alternative waivers scheduled to begin in 2017. Arkansas's private option uses federal funds to purchase marketplace silver-level qualified health plans for low-income, low-risk participants, while “medically frail” adults are covered through Medicaid. By improving the size and risk...
Journal Article
J Health Polit Policy Law (2007) 32 (6): 971–1004.
Published: 01 December 2007
...Frank J. Thompson; Courtney Burke Executive federalism emphasizes collaboration between the executive branches at the national and state levels to transform grant programs through the implementation process. In this regard, Medicaid demonstration waivers loomed large during the presidencies of Bill...
Journal Article
J Health Polit Policy Law (2015) 40 (3): 599–611.
Published: 01 June 2015
... 2015 by Duke University Press 2015 health care reform Medicaid expansion health care waivers Pennsylvania state government Enacted in 2010 by a slim Democratic margin, the landmark Patient Protection and Affordable Care Act (ACA) aims to provide medical insurance to millions...
Journal Article
J Health Polit Policy Law 9716740.
Published: 13 January 2022
...Erika Crable; David K. Jones; Alexander Y. Walley; Jacqueline Milton Hicks; Allyn Benintendi; Mari-Lynn Drainoni Abstract Context: In 2015, the Centers for Medicare and Medicaid Services urged state Medicaid programs to use 1115 waiver demonstrations to expand substance use treatment benefits. We...
Journal Article
J Health Polit Policy Law (1988) 13 (3): 525–546.
Published: 01 June 1988
...Susan S. Laudicina; Brian Burwell This article presents the findings of a national survey of Medicaid home and community-based care waiver programs established under Section 2176 of the Omnibus Budget Reconciliation Act of 1981. The article documents the ways states have used their waiver authority...
Journal Article
J Health Polit Policy Law (1988) 13 (4): 663–681.
Published: 01 August 1988
...Stephen Zuckerman; John Holahan This paper compares the Medicare prospective payment system (PPS) to four all-payer rate-setting systems that operated under HCFA waiver authority. The study examines the experience of Medicare, Medicaid, and commercial insurers under the two approaches. Data from...
Journal Article
J Health Polit Policy Law (2018) 43 (2): 305–323.
Published: 01 April 2018
...Dylan H. Roby; Christopher J. Louis; Mallory M. Johnson Cole; Natalie Chau; Bridgette Wiefling; David C. Salsberry; Evan King; Allen Miller Abstract The New York Delivery System Reform Incentive Payment (DSRIP) waiver was viewed as a prototype for Medicaid and safety net redesign waivers...
Journal Article
J Health Polit Policy Law (2019) 44 (6): 919–935.
Published: 01 December 2019
... system creates challenges. This article examines efforts to address SDOH in Oregon, which, as part of its 2012 Medicaid waiver, incorporated health-related services that lacked billing or encounter codes and were not included in Oregon's Medicaid state plan as a strategy to improve outcomes and control...
Journal Article
J Health Polit Policy Law (2014) 39 (4): 941–946.
Published: 01 August 2014
...Eric C. Stecker Abstract The most recent Oregon Medicaid experiment is the boldest attempt yet to limit health care spending. Oregon's approach using a Medicaid waiver from the Centers for Medicare and Medicaid Services utilizes global payments with two-sided risk at two levels — coordinated care...
Journal Article
J Health Polit Policy Law (2020) 45 (4): 633–646.
Published: 01 August 2020
... ACA implementation. The Obama administration had mixed success using waivers to convince Republican states to expand Medicaid. Compared to Obama, the Trump administration has found it harder to accomplish its policy goals through waivers, but if the courts support the Trump administration's work...
Journal Article
J Health Polit Policy Law (2014) 39 (5): 1099–1111.
Published: 01 October 2014
... for waivers from Medicare, Medicaid, the Children's Health Insurance Program, and “any other federal law relating to the provision of health care items or services.” This article reviews the statutory provisions and related regulations of this new and unprecedented state waiver authority, as well...
Journal Article
J Health Polit Policy Law (2017) 42 (2): 247–284.
Published: 01 April 2017
...Colleen M. Grogan; Phillip M. Singer; David K. Jones Abstract Seven states have used Section 1115 waivers to expand Medicaid as part of the Affordable Care Act (ACA). While each state pursued a unique plan, there are similarities in the types of changes each state desired to make. Equally important...
Journal Article
J Health Polit Policy Law (2021) 46 (3): 505–526.
Published: 01 June 2021
... coverage for all services covered by pregnancy Medicaid to all eligible women for one year. However, the details of federal legislation or individual state extensions (whether achieved through waivers or the state-only approach) are likely to evolve on the route to passage and could vary across a number...
Journal Article
J Health Polit Policy Law (2020) 45 (4): 617–632.
Published: 01 August 2020
... housing needs, 73% were addressing nutrition, 51% education, and 31% employment needs (Hinton et al. 2019 ). States can also apply for 1115 waivers to use Medicaid funds to invest in more intensive social interventions that often utilize health and social service partnerships. Several states have...
Journal Article
J Health Polit Policy Law (2021) 46 (6): 1019–1052.
Published: 01 December 2021
... add benefit coverage for optional services through the state's use of waivers. Medicaid waivers allow states, with federal approval, to modify their existing Medicaid programs. The recent use of these waivers has blurred the traditional funding separation between medical services authorized...
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Journal Article
J Health Polit Policy Law (1998) 23 (2): 363–390.
Published: 01 April 1998
... care for such persons is now available under Medicaid waiver programs. The debate about the cost effectiveness of community-based care has centered around whether such care will replace institutional care or sim- ply encourage an overall expansion in service use. The difference in per- ception...
Journal Article
J Health Polit Policy Law (2014) 39 (4): 947–953.
Published: 01 August 2014
...-obamacare . Miller E. A. 2014 . Block Granting Medicaid: A Model for Twenty-First Century Health Reform? New York : Routledge . Weissert Carol S. , and Weissert William G. . 2008 . “ Medicaid Waivers: License to Shape the Future of Fiscal Federalism .” In Intergovernmental...
Journal Article
J Health Polit Policy Law (2019) 44 (2): 315–331.
Published: 01 April 2019
...%20Withdrawal%209.29.17.pdf . Cline Terry . 2017b . “ 1332 State Innovation Waiver Application for the State of Oklahoma .” Government of Oklahoma , August 16 . www.ok.gov/health2/documents/1332%20State%20Innovation%20Waiver%20Final.pdf . CMS (Centers for Medicare and Medicaid Services...
Journal Article
J Health Polit Policy Law (1995) 20 (2): 477–484.
Published: 01 April 1995
...-an employer mandate-remains a key source of contention. Even now that Oregon has received a federal Medicaid waiver (for implementing its minimum benefit plan for Medic- aid recipients with the intent of expanding the plan further), it is not clear that the state will actually be able to proceed...