Ung D, Rodriguez D R
Health Care Law Newsl. 1995 Nov;10(11):9-11.
Given the complexity of federal Medicaid law and the limitations it imposes on state flexibility, it is likely that states will continue to ask the Secretary to grant waivers under Section 1115 to allow them to pursue new approaches to health care reform. The results of currently operational Section 1115 projects involving statewide managed care systems will be useful in evaluating the Medicaid reform measures currently under discussion in other states and at the federal level. In particular, the ability of the states to control Medicaid and indigent care costs and to utilize federal dollars more efficiently should prove important in evaluating a block grant approach to federal Medicaid funding. Moreover, Section 1115 project results that bear on the sufficiency of various Medicaid capitation rate methodologies will also be of value as more states expand the use of managed care arrangements for their Medicaid populations.
鉴于联邦医疗补助计划法律的复杂性及其对各州灵活性的限制，各州很可能会继续请求部长根据第1115条给予豁免，以便它们能够探索医疗保健改革的新途径。目前涉及全州范围管理式医疗系统的第1115条项目的结果，将有助于评估其他州和联邦层面目前正在讨论的医疗补助改革措施。特别是，各州控制医疗补助和贫困医疗费用以及更有效地利用联邦资金的能力，在评估联邦医疗补助资金的整笔拨款方式时应会被证明很重要。此外，随着越来越多的州扩大对其医疗补助人群使用管理式医疗安排，与各种医疗补助人头费率方法的充足性相关的第1115条项目结果也将具有价值。
