Lindsey P A, Jacobson P D, Pascal A H
RAND Corporation, Santa Monica, CA 90406.
Health Care Financ Rev. 1990 Dec;Spec No(Suppl):109-18.
Acquired immunodeficiency syndrome (AIDS), an increasingly significant health problem, presents a special challenge to Medicaid programs. Analyzed in this article is one particular approach to providing services for Medicaid-eligible AIDS patients: the Medicaid home and community-based (section 2176) waiver program, authorized by the 1981 Omnibus Budget Reconciliation Act and amended in 1985 to include persons with AIDS. The authors conclude that the AIDS-specific waiver is an attractive program for the States, but that changes in program administration and in how cost effectiveness is determined would likely facilitate broader acceptance by the States.
获得性免疫缺陷综合征（艾滋病）是一个日益严重的健康问题，给医疗补助计划带来了特殊挑战。本文分析了一种为符合医疗补助条件的艾滋病患者提供服务的特定方法：医疗补助居家和社区服务（第2176节）豁免计划，该计划由1981年《综合预算协调法案》授权，并于1985年修订以纳入艾滋病患者。作者得出结论，针对艾滋病的豁免计划对各州来说是一个有吸引力的项目，但项目管理以及成本效益确定方式的改变可能会促进各州更广泛地接受该计划。
