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Internal medicine physicians recommend key elements to guide state initiatives
Date:9/14/2007

state opt-out program that allows states to opt out of the national framework and establish their own programs for universal coverage. While little progress has been made to address the uninsured in a comprehensive way at the national level, state policymakers across the country are proposing ambitious and innovative reforms to expand health insurance coverage to individuals in their states. The President and Congress have also announced proposals to support states as they pilot new health reforms.

ACPs 10 recommendations are:

  • State-based health plans should either achieve universal coverage, or should at a minimum result in measurable and substantial reductions in the number of uninsured within the next 5 years.
  • State-based health plans should ensure that all individuals participate in the coverage plan, by applying individual mandates, employer mandates, automatic enrollment in publicly funded plans, or some combination of these approaches.
  • State-based health plans should at a minimum provide coverage for a core package of preventive and primary care services and for catastrophic expenses.
  • States should ensure adequate and stable funding for their state-based health programs by broadly sharing responsibility with the federal government, employers, and individuals within the state.
  • State-based health programs should include incentives to ensure a better balance of primary care physicians to specialists and an adequate supply of primary care physicians.
  • State-based health plans should give individuals the ability to obtain care from a qualified patient-centered medical home.
  • State-based health plans should include reimbursement reforms to support the value of patient-centered care managed by a primary or principal care physician.
  • State-based health programs should include incentives for health information exchange and physicians
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Contact: David Kinsman
dkinsman@acponline.org
202-261-4554
American College of Physicians
Source:Eurekalert

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