Federal waivers are powerful tools to demonstrate medicare or medicaid reforms including new payment methods benefit packages and delivery systems the business and policy opportunities are considerable heres a quick primer demonstration waivers historically federal policymakers have understood the need to test new ideas in the complex medicare and medicaid programs research and . Three technical papers on a research and demonstration waiver for medicare coverage in mexico us mexican occasional papers by shiloh daniel david madden jason blair the policy research project on medicare payment for medical isbn 9780899405797 978 0 89940 579 7 softcover univ texas at austin lyndon b 1999 find this book find signed collectible books three technical papers . Figure 1 cms research and demonstration funding new to medicare since the demonstration waiver authority was granted in 1967 hundreds of demonstrations have been undertaken some have never gotten off the drawing board and others have failed to reveal better ways to administer the program but many have led to some of the most important changes in medicare payment and service delivery . Section 1115 waivers allow for research and demonstration projects designed to temporarily test expanded eligibility or coverage options as well as methods for financing and delivering medicaid section 1115 waivers essentially allow pilot or demonstration programs that are expected to enhance or promote coverage and efficiency with the expansion of medicaid under the affordable care act . Research and demonstration waiver amendment request 2019 01 project number 11 w 00048 6 submitted 3 01 2019 section 1 executive summary background the oklahoma health care authority ohca is the states single state medicaid agency ohca operates the soonercare choice and insure oklahoma programs under 1115a demonstration authorities on august 31 2018 the centers for medicare
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