Waivers, research, and health system reform.

State Health Reform and the Role of 1115 Waivers

This article summarizes the status of State health reform and includes a table of major initiatives undertaken by each State. The Health Care Financing Administration's (HCFA's) role in reviewing State waiver proposals is analyzed, and the author examines why States are likely to continue to seek section 1115 waivers, absent Federal health care reform. The often conflicting roles and responsibi...

Medicaid incentive PrograMs: How waivers are iMProving HealtH outcoMes

Shortly following the implementation of the Affordable Care Act (ACA) in 2010, the state of California established the first ever Delivery System Reform Incentive Payment (DSRIP) Program as a part of its Section 1115 Medicaid waiver. Both Texas and Massachusetts followed with similar waiver-based programs shortly thereafter, creating a new trend in health care reform. After five years of growin...

Medicaid Expenditures and State Responses

This overview summarizes issues addressed in this issue of the Health Care Financing Review, entitled "Medicaid and State Health Reform." Articles cover the following topics: growth in the level of expenditures for Medicaid and creative financing strategies by States to manage these increases; section 1115 demonstration waivers; States' experiences with implementing approved section 1115 demons...

Health affairs blog post: 1332 waivers and the future of state health reform.

Medicaid and State Health Care Reform: Process, Programs, and Policy Options

Health care reform is a continuously evolving process. The States and the Federal Government have struggled with policy issues to combat escalating Medicaid expenditures while ensuring access and quality of care to an ever-expanding population. In the absence of national health care reform, States are increasingly relying on Federal waivers to develop innovative approaches to address a myriad o...