Medicaid at a Crossroads The 25 th Princeton Conference May 23, 2018 Michael Doonan, Ph.D. Brandeis University Michael Doonan May 23, 2018
Medicaid’s Ideological Divide W elfare Program Universal Coverage Temporary Standardization Needy All low income Hard to get on Easy to get on Easy to get off Hard to get off Disincentive to work Right Protect public Social responsibility resources Michael Doonan May 23, 2018
Policy Preferences W elfare Program Solid Safety Net Work requirements Income based eligibility Redeterminations Presumptive eligibility Cost sharing No out of pocket Asset tests No asset tests Detailed applications Streamlined application Time limits Annual enrollment Minimal benefits Generous benefits Waitlists Transitions Michael Doonan May 23, 2018
Political Pathways Waivers Executive orders Legislation Courts Federalism/ State flexibility Michael Doonan May 23, 2018
Axioms Conservatives use the federal government as much as liberal, they just have different goals. State flexibility is code word for “I can’t nationalize it.” Progressive states are progressive with federal money. Federalism is grease for the system. Michael Doonan May 23, 2018
Middle Ground or Battle Grounds? Matt Salo Executive Director National Association of Medicaid Directors Nina Owcharenko Schaefer Senior Research Fellow The Heritage Foundation Sara Rosenbaum Milken Institute School of Public Health The George Washington University Michael Doonan May 23, 2018
Recommend
More recommend