LEADER 04594nam 2200745Ia 450 001 9910969841203321 005 20251017110123.0 010 $a9780309172851 010 $a0309172853 010 $a9780309504492 010 $a030950449X 010 $a9780585317441 010 $a0585317445 035 $a(CKB)110986584753530 035 $a(EBL)3375362 035 $a(SSID)ssj0000102589 035 $a(PQKBManifestationID)11984587 035 $a(PQKBTitleCode)TC0000102589 035 $a(PQKBWorkID)10051348 035 $a(PQKB)11452276 035 $a(Au-PeEL)EBL3375362 035 $a(CaPaEBR)ebr10038635 035 $a(OCoLC)923255817 035 $a(MiAaPQ)EBC3375362 035 $a(Perlego)4734549 035 $a(DNLM)954260 035 $a(BIP)53856703 035 $a(BIP)6324541 035 $a(EXLCZ)99110986584753530 100 $a20000427d2000 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 00$aAmerica's health care safety net $eintact but endangered /$fCommittee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers ; Marion Ein Lewin and Stuart Altman, editors 205 $a1st ed. 210 $aWashington, D.C. $cInstitute of Medicine $cNational Academy Press$dc2000 215 $a1 online resource (308 p.) 300 $aDescription based upon print version of record. 311 08$a9780309064972 311 08$a030906497X 320 $aIncludes bibliographical references and index. 327 $a""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"" 327 $a""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"" 330 $aAmerica'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. 606 $aMedical assistance$zUnited States 606 $aMedical care$xNeeds assessment$zUnited States 606 $aMedically uninsured persons$zUnited States 606 $aPoor$xMedical care$zUnited States 615 0$aMedical assistance 615 0$aMedical care$xNeeds assessment 615 0$aMedically uninsured persons 615 0$aPoor$xMedical care 676 $a362.1/0973 701 $aLewin$b Marion Ein$01803920 701 $aAltman$b Stuart H$0147596 712 02$aInstitute of Medicine (U.S.).$bCommittee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910969841203321 996 $aAmerica's health care safety net$94359829 997 $aUNINA