Fact Sheets/Issue Briefs

The Deficit Reduction Act of 2005: Impact on Medicaid
This fact sheet discusses the impact of the 2005 Deficit Reduction Act (DRA) on Medicaid policy, including provisions related to benefits and cost-sharing that states may now implement through the State Plan Amendment (SPA) process instead of the formal waiver process. It explains both mandatory and optional Medicaid changes found in the DRA, as well as how these changes may shift costs to beneficiaries while limiting coverage and access to health care services for Medicaid beneficiaries.

Prepared by M. Ryan Barker, MSW, Missouri Foundation for Health

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Japan and Massachusetts - A Comparison of Universal Health Care Systems
This study provides an overview of the general structure of both the Massachusetts and Japanese health care systems, and outlines how each achieves universal health care for its residents. Additionally, the paper compares and contrasts not only the health care systems, but the demographic and cultural differences that affect the implementation of the health care structures within these entities. Finally, the paper concludes with an outlook on how universal coverage in Massachusetts might affect the health outcomes of the residents of that state.

Prepared by M. Ryan Barker, MSW, Missouri Foundation for Health

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