全球智库信息集成服务系统

Idaho implemented numerous Medicaid policy changes under authority granted by the Deficit Reduction Act of 2005, which allowed greater flexibility in benefit design and cost-sharing. This case study describes these changes and explores their impacts, along with the political, regulatory, and institutional environments that shaped these impacts. While Idaho succeeded in meeting some of the original goals of the policy changes, further Medicaid changes would be needed to have major impacts on costs and beneficiary behaviors; however, such changes will likely be heavily dependent on how Idaho weathers the current economic downturn and on the policy changes the state makes associated with federal health reform efforts.