Thorne J I, Bianchi B, Bonnyman G, Greene C, Leddy T
Office of Research and Demonstrations, Health Care Financing Administration, Baltimore, MD 21207, USA.
Health Care Financ Rev. 1995 Spring;16(3):121-38.
The general consensus among States which have had their section 1115 demonstration projects approved is that there is no one best way to implement State health care reform. The Health Care Financing Administration (HCFA), however, wished to discern how States were accomplishing the task of implementing the demonstrations, and solicited responses from State representatives whose section 1115 demonstration waivers had been approved. The resulting article gives an overview of this implementation process from four State perspectives. Written by representatives from Oregon, Hawaii, Tennessee, and Rhode Island, the ideas presented here are indicative of the complex undertaking of State health care reform.
那些第1115条示范项目已获批准的州普遍认为,没有一种最佳方式来实施州医疗保健改革。然而,医疗保健财务管理局(HCFA)希望了解各州是如何完成实施示范项目的任务的,并向其第1115条示范豁免已获批准的州代表征求了意见。由此产生的文章从四个州的角度概述了这一实施过程。这里提出的观点由俄勒冈州、夏威夷州、田纳西州和罗德岛州的代表撰写,表明了州医疗保健改革这项复杂的工作。