04594nam 2200745Ia 450 991096984120332120251017110123.0978030917285103091728539780309504492030950449X97805853174410585317445(CKB)110986584753530(EBL)3375362(SSID)ssj0000102589(PQKBManifestationID)11984587(PQKBTitleCode)TC0000102589(PQKBWorkID)10051348(PQKB)11452276(Au-PeEL)EBL3375362(CaPaEBR)ebr10038635(OCoLC)923255817(MiAaPQ)EBC3375362(Perlego)4734549(DNLM)954260(BIP)53856703(BIP)6324541(EXLCZ)9911098658475353020000427d2000 uy 0engur|n|---|||||txtccrAmerica's health care safety net intact but endangered /Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers ; Marion Ein Lewin and Stuart Altman, editors1st ed.Washington, D.C. Institute of Medicine National Academy Pressc20001 online resource (308 p.)Description based upon print version of record.9780309064972 030906497X Includes bibliographical references and index.""Cover""; ""Front Matter""; ""Preface""; ""Acknowledgments""; ""Reviewers""; ""Contents""; ""TABLES, FIGURES, AND BOXES""; ""Executive Summary""; ""1 Background and Overview""; ""2 The Core Safety Net and the Safety Net System""; ""3 Forces Affecting Safety Net Providers in a Changing Health Care Environment""; ""4 How Safety Net Providers Are Adapting to the New Environment""; ""5 The Impact of Change on Vulnerable Populations""; ""6 Safety Net Populations with Special Health and Access Needs""; ""7 Findings and Recommendations""; ""Appendixes""; ""A Committee Biographies""""B Workshop Agenda""""C Workshop Participants""; ""D California Regional Meeting Agenda""; ""E California Regional Meeting Participants""; ""F New York Regional Meeting Agenda""; ""G New York Regional Meeting Participants""; ""H Rural Conference Call Participants""; ""I Acronyms""; ""Index""America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety net-with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety net-public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the system-rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environment-detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populations-children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless. Medical assistanceUnited StatesMedical careNeeds assessmentUnited StatesMedically uninsured personsUnited StatesPoorMedical careUnited StatesMedical assistanceMedical careNeeds assessmentMedically uninsured personsPoorMedical care362.1/0973Lewin Marion Ein1803920Altman Stuart H147596Institute of Medicine (U.S.).Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers.MiAaPQMiAaPQMiAaPQBOOK9910969841203321America's health care safety net4359829UNINA