Iowa Wavering on Medicaid: From Expansion to Modernization.
Iowa is one of six states to expand Medicaid through section 1115 waivers. Iowa's alternative approach to Medicaid expansion, known as the Iowa Health and Wellness Plan, was the result of a bipartisan compromise, motivated by the pending expiration of a preexisting section 1115 waiver that served si...
| Publicado en: | Journal of Health Politics, Policy & Law Vol. 41; no. 2; pp. 287 - 301 |
|---|---|
| Autores principales: | , , |
| Formato: | Artículo |
| Publicado: |
Duke University Press
Apr2016
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=114616426&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 114616426 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 03616878 HPP jtl: Journal of Health Politics, Policy & Law issn: 03616878 maglogo: N pubinfo: dt: Apr2016 vid: 41 iid: 2 pid: 154 pub: Duke University Press artinfo: ui: 114616426 10.1215/03616878-3476293 ppf: 287 ppct: 14 formats: tig: atl: Iowa Wavering on Medicaid: From Expansion to Modernization. aug: au: Wright, Brad Potter, Andrew J. Nattinger, Matthew C. affil: University of Iowa su: Iowa Economic impact Medicaid Customer satisfaction Health planning Insurance Practical politics Responsibility Medicaid statistics Patient Protection & Affordable Care Act Health insurance exchanges sug: subj: Economic impact Medicaid Customer satisfaction Health planning Insurance Practical politics Responsibility Iowa All Other Insurance Related Activities Other Insurance Funds Third Party Administration of Insurance and Pension Funds Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Medicaid statistics Patient Protection & Affordable Care Act Health insurance exchanges keyword: ACA marketplace ACA marketplace ab: Iowa is one of six states to expand Medicaid through section 1115 waivers. Iowa's alternative approach to Medicaid expansion, known as the Iowa Health and Wellness Plan, was the result of a bipartisan compromise, motivated by the pending expiration of a preexisting section 1115 waiver that served sixty-five thousand Iowans. The Iowa Health and Wellness Plan emphasizes personal responsibility and private involvement. Key features include beneficiary premiums, incentives for healthy behaviors, and premium assistance for some beneficiaries to purchase insurance in the health insurance marketplace. However, Iowa has struggled to implement its expansion as initially envisioned, due largely to the lack of private insurers willing and able to insure new Medicaid enrollees in the marketplace. In 2016 Iowa will dramatically increase the role of managed care in Medicaid, with the vast majority of beneficiaries receiving almost all Medicaid services through a capitated managed care organization. This article highlights the local factors driving expansion, the interplay of the state and federal political landscape, the challenges of providing consumer choice within Iowa's marketplace, and the future of Iowa's Medicaid program under managed care. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|