The Fund supports networks of state health policy decision makers to help identify, inspire, and inform policy leaders.
The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health.
The Fund identifies and shares policy ideas and analysis to advance state health leadership, strong primary care, and sustainable health care costs.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
The Milbank Memorial Fund is is a foundation that works to improve population health and health equity.
December 1997 (Volume 75)
Quarterly Article
Judith Feder
Jeanne Lambrew
Michelle Huckaby
December 2024
Dec 19, 2024
Back to The Milbank Quarterly
Because it absorbs about a third of Medicaid spending, long-term care would be affected by any major changes in the financing or structure of this federal-state program. Analysis of the implications for long-term care of the Medicaid restructuring proposals that Congress considered in the 1995-96 federal budget debate leads to this conclusion: the fiscal pressure and incentives that would be created by fixed dollar or block grants, or by limits on federal spending per beneficiary (per capita caps), when combined with enhanced state flexibility in program design, could significantly hinder service choice and quality, reduce access to care, and increase out-of-pocket payments by Medicaid beneficiaries or their families.
Author(s): Judith Feder; Jeanne Lambrew; Michelle Huckaby
Read on Wiley Online Library
Read on JSTOR
Volume 75, Issue 4 (pages 425–459) DOI: 10.1111/1468-0009.00065 Published in 1997
