[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
Books, Journals, New Media
October 25, 2000

Access to CareAmerica's Health Care Safety Net: Intact but Endangered

Author Affiliations

Harriet S.MeyerMD, Contributing EditorDavid H.MorseMS, Journal Review EditorRobertHoganMD, adviser for new media


Not Available

JAMA. 2000;284(16):2117-2118. doi:10.1001/jama.284.16.2117

In the United States, people without health insurance and other vulnerable populations depend on a loosely organized "health care safety net" for access to care. Three factors threaten to overwhelm the safety net: the rising number of uninsured people, now almost one fifth of the US population; erosion and uncertainty of direct and indirect subsidies for safety-net providers; and intensified competition for Medicaid patients under managed care.

Concerned about the impact of these trends on the safety net, the Health Resources and Services Administration (HRSA) commissioned a policy study by the Institute of Medicine (IOM). The original charge to the study committee was to "examine the impact of Medicaid managed care and other changes in health care coverage on the future integrity and viability of safety net providers operating primarily in ambulatory and primary care settings." The committee, chaired by Stuart Altman, PhD, broadened the scope of its inquiry to include providers of inpatient as well as outpatient care.

First Page Preview View Large
First page PDF preview
First page PDF preview