Welfare Medicine in America: A Case Study of Medicaid

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Elder Law

Elder Law is designed to introduce the realities of a modern elder law practice in serving the needs of America’s growing elderly population. Each chapter explains the development of important case and statutory law within an historical perspective while offering an expansive review of elder law terminology. Well-organized, and easy-to-read, the material appeals to a wide audience with or without a legal background. Practical assignments, such as hypotheticals, Elder Law Practice scenarios and Ethics Alert problems focus on real-world insights. Elder Law covers the wide array of overlapping topics and challenges facing elder law legal professionals today. Essential elder law topics covered include advance directives, wills, guardianship and conservatorship issues, Medicaid and Medicare planning, long-term care planning, financial planning and trusts, housing options, physical and financial elder abuse, age discrimination, grandparents rights, love and marriage. In addition, mental and physical health concerns of an aging population are considered.

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Reform Medicaid First: Laying the Foundation for National Health Care Reform

As Congress contemplates major revisions to America’s health care system, two leading health economists warn that significant differences among state Medicaid programs will hinder national health care reform. Thomas W. Grannemann and Mark V. Pauly argue that Medicaid will need to be reformed as an early step in any serious health care reform effort. While states such as Mississippi and Nevada spend as little as ,000 per poor person annually, New York and Alaska annually spend more than ,000 per Medicaid patient. Large differences remain even after correcting for cost-of-living and medical-price differences. This imbalance among states creates an uneven and unstable foundation for any national program to address the needs of uninsured Americans. The authors offer principles for reform designed to encourage equity, efficiency, and accountability in all publicly funded health care programs. They suggest changes in provider payment methods and federal/state financing designed to promote interstate equity, equality of payment across settings, claims-based accountability, provider network control, and value-based cost containment. Such reform will require upfront changes in Medicaid to improve access to high-value health care for low-income persons (particularly those in low-Medicaid-benefit states) and to help slow the rate of growth in medical costs. These changes will level the playing field for state programs and provide a crucial foundation for further national reform.

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