A "customary and necessary" program--Medicaid and health care reform
New England Journal of Medicine
Volume 362, Issue 21
Health Care Reform--legislation & jurisprudence; Medicaid--legislation & jurisprudence; Medicaid & SCHIP; Hirsh Health Law & Policy; Health Reform
The recently passed U.S. health care reform law envisions a health care system that rests atop a four-legged stool consisting of employer-sponsored health plans, coverage purchased through state-based exchanges, Medicare, and Medicaid. Each leg faces important challenges, none more than Medicaid. Numerous issues confront the “new” Medicaid. Will states be able to achieve full coverage for eligible persons and align their operations smoothly with those of other coverage sources? Will coveragebe adequate to the population’s need? Will providers participate,and will the safety net be sustained? And perhaps above all,will states continue to operate Medicaid programs and share in their costs?
Rosenbaum, S. (2010). A "customary and necessary" program--Medicaid and health care reform. New England Journal of Medicine, 362(21), 1952-1955.