Riley T
Center for Health Policy Development, National Academy for State Health Policy, Portland, ME 04101, USA.
Health Care Financ Rev. 1995 Spring;16(3):139-49.
This article summarizes the status of State health reform and includes a table of major initiatives undertaken by each State. The Health Care Financing Administration's (HCFA's) role in reviewing State waiver proposals is analyzed, and the author examines why States are likely to continue to seek section 1115 waivers, absent Federal health care reform. The often conflicting roles and responsibilities of Federal and State policy-makers in health reform are explored.
本文总结了各州医疗改革的现状，并包含了各州所采取的主要举措的表格。分析了医疗保健财务管理局（HCFA）在审查各州豁免提案中的作用，作者探讨了在没有联邦医疗改革的情况下，各州为何可能继续寻求第1115条豁免。探讨了联邦和州政策制定者在医疗改革中经常相互冲突的角色和责任。
