Medicaid: Political durability, democratic process and health care reform

The Foundation's Investigator Awards in Health Policy Research Program was designed to produce major works from senior and new investigators that would add to the health policy field's knowledge base.In the face of mounting pressures to contain health care costs and strongly held partisan views about entitlement programs, what does the future hold for Medicaid? Will Medicaid, which costs more than $300 billion annually and provides coverage to some 55 million low-income Americans, be subjected to deep budget cuts? Or can it resist erosion and perhaps even expand to cover more of the nation's 47 million uninsured? These issues will be explored in a project, Medicaid: Political Durability, Democratic Process, and Health Care Reform. The grantee will examine Medicaid's structure as a federal grant program; its varied constituents, including the disabled and middle-class elderly as well as low-income mothers and children; characteristics of the American political system, such as federalism and party division, that often make program cuts more difficult; and the use of administrative rather than legislative strategies by the Clinton and Bush administrations to try to transform Medicaid. The project director will consider the possibilities for using Medicaid to expand insurance coverage, to shift more long-term care from institutions to communities, and to achieve other reforms that could promote innovation, transparency, and broader participation in policy making.

Grant Details

Amount Awarded $331,810.00

Awarded on: 6/24/2008

Time frame: 7/1/2008 - 6/30/2013

Grant Number: 63912


Rutgers, The State University of New Jersey - New Brunswick

57 US Highway 1
New Brunswick, 08901-8554


Frank J. Thompson
Project Director