Policy Perspectives |

US Health System Reform in the Early 21st Century

Eli Ginzberg, PhD
JAMA. 1998;280(17):1539. doi:10.1001/jama.280.17.1539.
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THE FEDERAL GOVERNMENT has listed its priorities: reducing federal expenditures for Medicare by $115 billion by 2002 and broadening the types of coverage available to Medicare enrollees, a bill of rights for members enrolled in managed care plans, larger expenditures for biomedical research and development, and multiyear funding to the states to speed health care coverage for large numbers of uninsured children.1

The states, in turn, are looking closely at their future spending for health care services and are speeding the enrollment of Medicaid-eligible patients into Medicaid managed care plans in the hope and with the expectation that such action will moderate their future health care outlays, although there is no firm evidence from any of the larger states that such anticipated economies can be achieved.2

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