A Blueprint for Comprehensive Medicaid Reform (2024)

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    Health Policy

    February16, 2021

    Rebekah E.Gee,MD, MPH1; DavidShulkin,MD2; IyahRomm,BS3

    Author Affiliations Article Information

    • 1Louisiana State University Health Care Services Division, New Orleans

    • 2Sanford Health, Sioux Falls, South Dakota

    • 3Cityblock Health, Brooklyn, New York

    JAMA. 2021;325(7):619-620. doi:10.1001/jama.2021.0013

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    • Rebekah E.Gee,MD, MPH; DavidShulkin,MD; IyahRomm,BS

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    • Patricia A.Gabow,MD

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    • Special Communication The US Medicaid Program—Coverage, Financing, Reforms, and Implications for Health Equity

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    • Insights Expanding Presumptive Eligibility as a Key Part of Medicaid Reform

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    Full Text

    Medicare and Medicaid, both enacted in 1965, represent approximately 40% of US health care expenditures.1 Medicare covers health care for people aged 65 years or older as well as those with significant disabilities, accounted for more than $800 billion in health care spending in 2020, and has historically had substantial public support.2 Medicaid, designed to provide health coverage for lower-income people, accounted for more than $600 billion in health care spending in 2020 and has faced ideological opposition from its inception.3 For example, Arizona waited until 1982, nearly 2 decades after enabling legislation, to offer Medicaid services to its lower-income residents. Medicaid, while run by individual states, does so in partnership with the Centers for Medicare & Medicaid Services (CMS) and over the last 2 decades has been responsible for a rapidly growing share of state budgets.

    • Editorial Health Care Is a Right, Not a Privilege

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    Gee RE, Shulkin D, Romm I. A Blueprint for Comprehensive Medicaid Reform. JAMA. 2021;325(7):619–620. doi:10.1001/jama.2021.0013

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