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Health Care Financ Rev. 1995 Spring;16(3):105-20.

Medicaid and state health care reform: process, programs, and policy options.

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Health Care Financing Administration, Baltimore 21207, USA.


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 of issues associated with the present health care delivery system. This article provides a summary of State health care reform efforts that have been initiated under Federal waiver authority.

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