Methods University Health System Can Use to Expand Medicaid Coverage to Uninsured Poor Parents with Medicaid Eligible Children: Policy Analysis.

摘要

Bexar County, low-income, uninsured parents with Medicaid-eligible children have been negatively impacted by reductions in Medicaid eligibility standards made by the Texas State Legislature in 2003 and the continuing reduction in local employer-sponsored insurance. The cost for providing health care to this population has fallen to Bexar County residents through local taxes in support of the county hospital, University Health System. Alternatives to improve access to care for this population while reducing costs to the county are limited. A 1115 Medicaid waiver requiring a premium cost share with small business, employees, and county indigent care funds is currently the best long-term solution and will increase access and assist in mitigating some health care costs for the county.