Medicaid: Politics, Policy, and Key Issues


Series: Health Care in Transition
BISAC: HEA028000

Medicaid is a big deal. It is the U.S. health insurance safety net for low-income pregnant women and children, but it also affects many people above the poverty line, including disabled people in middle-class families and aged adults who, in an unsettlingly common pattern, live working class or middle class lives but lose all assets during extended nursing home stays. Now that the Affordable Care Act of 2010 (ACA) is implemented, Medicaid also covers many low-income, non-elderly, non-parent adults.

The complex world of Medicaid is swirling with questions. What does Medicaid do for people? Why do people tend to support or oppose Medicaid policy? What is it like to be a Medicaid beneficiary? Will social divisions or administrative red tape eventually sink the program, or will it grow?

This book helps answer these questions. Each chapter contains insights useful for practitioners and researchers alike. This book is also useful for both beginners and specialists. Each chapter introduces a key issue then takes a deep dive into the most important nooks and crannies of the program.

This book also raises new questions. For those interested in answering these questions, the following chapters offer a wide range investigative techniques that future Medicaid researchers could employ. Warning: the work will not be easy. Medicaid is complex and constantly changing. Yet whether readers want to understand ongoing changes or create changes of their own, they are likely to find much of the information they need in the chapters that follow.

Table of Contents

Table of Contents


Section I: The Impact of Medicaid in the Age of the Affordable Care Act

Chapter 1. Personal Narratives from Oregon’s Medicaid Expansion
(Heidi Allen, Bill Wright and Katherine Baicker, School of Social Work, Columbia University, New York, NY, US, and others)

Chapter 2. The Impact of the ACA on Insurance Coverage Disparities after Four Years
(Charles Courtemanche, Ishtiaque Fazlul, James Marton, Benjamin Ukert, Aaron Yelowitz and Daniela Zapata, Department of Economics, University of Kentucky, Lexington, KY, US)

Chapter 3. Federally Qualified Health Centers: From the Fringes to the Mainstream
(Carolin L. Spice, Bomy Yun, Aaron B. Katz and Paul A. Fishman, Department of Health Services, University of Washington, Seattle, WA, US, and others)

Section II: Challenges in Medicaid Policy and Politics

Chapter 4. Administrative Burdens in Medicaid
(Pamela Herd and Donald P. Moynihan, Georgetown University, Washington, DC, US)

Chapter 5. The Quiet Politics of Medicaid Work Requirements
(Philip Rocco, Department of Political Science, Marquette University, Milwaukee, WI, US)

Chapter 6. Medicaid and Racial Restriction: Moving Beyond the Welfare-Entitlement Dichotomy in the Analysis of Income-Targeted Programs
(Daniel Lanford, Georgia Health Policy Center, Georgia State University, Atlanta, GA, US)

Section III. Challenges Implementing Medicaid

Chapter 7. Medicaid Family Planning Expansions: A Case Study of the Implementation of Georgia’s Planning for Healthy Babies Program
(Sarah C. Blake, Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA, US)

Chapter 8. Medicaid Coverage Across the Income Distribution under the Affordable Care Act
(Charles Courtemanche, James Marton and Aaron Yelowitz, Department of Economics, University of Kentucky, Lexington, KY, US, and others)

Section IV. Program Change

Chapter 9. Changes in Medicaid for People with Disability
(Madonna Harrington Meyer and J. Dalton Stevens, Syracuse University, Syracuse, NY, US)

Chapter 10. Medicaid’s Consumer Paradox: The Case of Substance Use Disorder
(Bikki Tran Smith, Colleen M. Grogan, PhD, Christina M. Andrews, PhD, Amanda J. Abraham, PhD, Melissa A. Westlake and Samantha J. Harris, School of Social Service Administration, University of Chicago, Chicago, Illinois, US, and others)

Chapter 11. Restructuring Medicaid’s Long Term Care Benefit: Shifting Services from Institutions to Communities
(Jill Quadagno, Pepper Institute on Aging and Public Policy, Florida State University, Tallahassee, FL, US)


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