Equity in the Medicaid program: changes in the latter 1980s.
Adams, E Kathleen
Date of Pub
The possibility of health care reform has helped focus attention on equity in the receipt of health care. This is a particular
issue for the Medicaid program, as State variations in eligibility and payment policies have historically created inequity.
This study examines equity for Medicaid beneficiaries and State taxpayers during the latter 1980s. Findings indicate that
federally mandated expansions significantly increased equity in the coverage of the poor, but inequality in real resources
per enrollee remained significant. Although equity improved from 1984 through 1991, the increased use of provider-specific
tax and voluntary donation (T&D) programs by traditionally high-spending States played an important role in the 1992 figures.
Social Justice : Eligibility Determination : Health Care Rationing/economics/standards : Health Expenditures/statistics &
numerical data/trends : Health Services Needs and Demand : Medicaid/statistics & numerical data/standards/trends : Poverty
: State Health Plans/economics : Support, U.S. Gov't, Non-P.H.S. : Taxes : United States