Medicaid Everyone Can Count On
Public Choices for Equity and Efficiency

  • Title:

    Medicaid Everyone Can Count On
  • Paperback Price:

    25.00
  • Format:

    HardCover
  • Hardcover Price:

    25.00
  • Hardcover ISBN:

    978-0-8447-4311-0
  • Hardcover Dimensions:

    6" x 9"
  • 400 Hardcover pages
  • Buy the Book

Click here to purchase this book on Amazon

A comprehensive policymaker's guide to the Medicaid program, Medicaid Everyone Can Count On offers unique insights into the complex interactions among stakeholders in America’s state-based public health care programs. In an era of national health care reform, this volume is an invaluable resource for federal and state lawmakers and program analysts tasked with crafting policies that balance the distinct needs of taxpayers, providers, and the poor.

Working from theory to practice, Thomas W. Grannemann and Mark V. Pauly develop an approach to Medicaid policy based on a keen understanding of the forces that have shaped the program. They begin by examining the program’s intellectual foundations--American altruism and the principles of equity, efficiency, and democracy. They then ask the question: What are the inherent strengths and weakness of the American approach to financing medical care for the poor? The answers it turns out have direct implications for how best to approach implementing health reforms that would extend eligibility, control costs, and provide better value both to program recipients and to taxpayers.

Building on the theory of public choice and economic analysis, the authors offer new perspectives on the program and its flaws, including unequal benefits among the states, federal funding that is poorly matched to state needs and resources, and disparities in payment to health care providers. To correct these flaws reform initiatives need to focus on two leverage points--federal financing and provider payment--that control the flow of resources and influence the behavior of states and medical care providers. The authors offer suggestions for using these tools to address policy issues in areas such as eligibility, benefits, care management, provider incentives, and federal assistance to the states.

At this transitional point in the program’s history, Grannemann and Pauly provide a consistent framework for thinking about Medicaid policy, one which has many practical implications for policymakers and insights for those who seek to better understand this complex program.

Thomas W. Grannemann is Associate Regional Administrator for Medicare Financial Management and Fee for Service Operations in the Boston Regional Office of the U.S. Centers for Medicare and Medicaid Services.

Mark V. Pauly is Bendheim Professor in the department of health care management, professor of health care management, insurance and risk management, and business and public policy at the Wharton School, and professor of economics in the School of Arts and Sciences at the University of Pennsylvania.

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About the Author

 

Mark V.
Pauly

  • Mark V. Pauly is the Bendheim Professor in the Department of Health Care Management;  professor of health care management, insurance and risk management, and business and public policy at the Wharton School; codirector of the Roy and Diana Vagelos Life Sciences and Management Program; and professor of economics in the School of Arts and Sciences at the University of Pennsylvania. A former commissioner on the Physician Payment Review Commission, Mr. Pauly has served on the advisory committee to the Agency for Health Care Research and Quality and on the Medicare Technical Advisory Panel. He currently serves on the National Advisory Council for the National Institutes of Health National Center for Research Resources, the National Academy of Sciences' Committee to Study the Veterinary Workforce, and its Committee on the Biomedical Workforce. He has been a consultant to the Congressional Budget Office, the Office of the Secretary of the US Department of Health and Human Services (which supported some of his work on individual health insurance), and health trade associations. Mr. Pauly is a coeditor-in-chief of the International Journal of Health Care Finance and Economics and an associate editor of the Journal of Risk and Uncertainty.  


  • Phone: 2158986861
    Email: pauly@wharton.upenn.edu

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