State demonstration projects are frequently aimed at saving money to allow states to extend Medicaid coverage to additional low-income and uninsured people. Since January 1993, comprehensive health care reform demonstration waivers have been approved for 18 states. In addition, HHS has approved requests from 19 states for Medicaid waivers as part of larger welfare reform projects, as well as 25 local Medicaid demonstration projects. When fully implemented, these demonstration projects will extend health coverage to 2.2 million parents and children who otherwise would be uninsured. As the number of beneficiaries enrolled in managed care plans has increased, the Clinton Administration has been working closely with states, insurers, health care professionals, and consumers to assure the quality of care provided in that setting.
Several initiatives are already underway.
Many of the recommendations of this commission are already practiced by Medicare and Medicaid. The President has called on Congress to pass legislation that assures these patients' rights for Americans in private health plans. Results from the survey will be available to beneficiaries later in 1998. Response Within 72 Hours to Appeals of Care Denials is required for Medicare beneficiaries under regulations enacted in April, 1997. This covers decisions that could jeopardize life, health or ability to regain maximum function, and terminations of care such as skilled nursing facility discharge.