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By Institute of Medicine, Managed Care, and the Future Viability of Safety Net Providers Committee on the Changing Market, Stuart Altman, Marion Ein Lewin

"America's well-being Care security web" explains how pageant and value matters in modern-day healthiness care market are posing significant demanding situations to persevered entry to take care of America's bad and uninsured. At a time while policymakers and companies are urgently looking assistance, the committee recommends concrete innovations for conserving the viability of the protection internet - with cutting edge ways to development public realization, constructing larger instruments for monitoring the matter, and designing potent interventions. This booklet examines the overall healthiness care protection internet from the views of key companies and the populations they serve, together with: parts of the protection internet - public hospitals, group clinics, neighborhood well-being departments, and federal and nation courses. Mounting pressures at the procedure - emerging numbers of uninsured sufferers, decline in Medicaid eligibility because of welfare reform, expanding health and wellbeing care entry boundaries for minority and immigrant populations, and extra. particular effects for services and their sufferers from the aggressive, controlled care atmosphere - detailing the evolution and impression of Medicaid controlled care. Key matters highlighted in 4 populations are - childrens with targeted wishes, individuals with critical psychological sickness, individuals with HIV/AIDS, and the homeless.

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Extra resources for America's Health Care Safety Net: Intact But Endangered

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Support for this project was provided by the Health Resources and Services Administration (Contract No. 240-97-0030). The views presented in this report are those of the Institute of Medicine Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers and are not necessarily those of the funding agency. Library of Congress Cataloging-in-Publication Data America'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, editors.

In many underserved inner-city and rural communities, core safety net providers may be the only available source of primary health care services for the vulnerable populations residing in these areas. Rising numbers of uninsured patients, coupled with changes in Medicaid policies and cutbacks in public and other subsidies, are beginning to place America's health care safety net in a state of serious jeopardy. The loss of safety net providers could harm not only the uninsured and people with low incomes but also the community at large.

This perspective could argue for a more global assessment of safety net services and their relative adequacy in a given community. Still others argue that policy and program efforts directed to poor and uninsured populations primarily should be targeted at broadening access to affordable insurance rather than subsidizing a designated class of providers. Although the committee sees some merit in all of these perspectives, its charge was to assess the health care safety net system as it exists today and to focus its deliberations on these major providers of care to poor and uninsured populations.

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