Health care for Nebraska's medically indigent.

Abstract:

:In this study, several alternatives for the provision of health care to the medically indigent of Nebraska were analyzed quantitatively and qualitatively. These alternatives were: expansion of county medical assistance programs, state-purchased health insurance policies, Medicaid expansion, revenue pool to redistribute charity-care losses, all-payer rate system, mandated employer-purchased health insurance, and charity-care districts. Under four future scenarios, alternatives were ranked on the basis of program costs, a sensitivity analysis, and qualitative criteria. This analysis found that state-purchased health policies would result in lower program costs than either an increase in county assistance programs or employer-mandated health insurance. Medicaid expansion would reach fewer than one-third of the state's medically indigent. A revenue pool and all-payer rate system are the least costly alternatives but depend on the continuing good will of providers.

authors

Mallenby ML

doi

10.1353/hpu.2010.0388

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

177-93

issue

3

eissn

1049-2089

issn

1548-6869

journal_volume

4

pub_type

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