An Early Look At Ten State HIFA Medicaid Waivers

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Abstract
In an examination of ten Health Insurance Flexibility and Accountability (HIFA) demonstrations, a major Medicaid initiative of the Bush administration, we found that states have adopted varied program designs, reflecting their particular goals and circumstances. Nationally, we estimate that 300,000 people were covered under HIFA demonstrations as of December 2005. Although this is a sizable number, coverage has fallen far short of the 820,000 expected.

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