Laudicina S S, Burwell B
La Jolla Management Corporation.
J Health Polit Policy Law. 1988 Fall;13(3):525-46. doi: 10.1215/03616878-13-3-525.
This article presents the findings of a national survey of Medicaid home and community-based care waiver programs established under Section 2176 of the Omnibus Budget Reconciliation Act of 1981. The article documents the ways states have used their waiver authority, the methods states use to target their programs to people who are at risk of institutionalization, the programs' service utilization and expenditure levels, and the quality assurance systems that have been established as of 30 September 1985. Based on these state-reported descriptions of Medicaid home and community-based waiver programs, the article discusses preliminary findings on the cost-effectiveness of the waivers and looks at some potential attributes of a cost-effective program.
本文介绍了一项针对根据1981年《综合预算调节法》第2176条设立的医疗补助居家和社区护理豁免计划的全国性调查结果。文章记录了各州使用其豁免权的方式、各州将其计划针对有机构收容风险人群的方法、这些计划的服务利用情况和支出水平，以及截至1985年9月30日已建立的质量保证系统。基于这些各州上报的医疗补助居家和社区豁免计划描述，本文讨论了有关豁免计划成本效益的初步调查结果，并探讨了具有成本效益计划的一些潜在特征。
