California's Efforts To Cover The Uninsured: Successes, Building Blocks, And Challenges.
Health Aff (Millwood)
; 37(9): 1358-1366, 2018 09.
Article
em En
| MEDLINE
| ID: mdl-30179558
ABSTRACT
During the last century, California policy makers tried multiple approaches to achieve the goal of affordable health coverage for all employer and individual requirements, single payer, and hybrids. All failed, primarily because of the amount of financing needed to cover the large numbers of uninsured Californians and the supermajority vote requirements for tax increases. These failures, however, provided important lessons for state and national reform efforts. More immediate success was achieved with incremental reforms, such as child health insurance, Medicaid section 1115 waivers, and the creation of purchasing pools. These reforms, as well as the experience derived from the broader coverage expansion efforts, contributed to the intellectual and policy frameworks that underlay major national reforms and created building blocks for the state's successful implementation of the Affordable Care Act. That act allowed California to meet its greatest need the financing required to make a truly sizable dent in the numbers of uninsured Californians.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pessoas sem Cobertura de Seguro de Saúde
/
Reforma dos Serviços de Saúde
/
Cobertura do Seguro
/
Seguro Saúde
Limite:
Child
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Health Aff (Millwood)
Ano de publicação:
2018
Tipo de documento:
Article