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1970 Wis. L. Rev. 726 (1970)
The Impact of Medicaid

handle is hein.journals/wlr1970 and id is 744 raw text is: THE IMPACT OF MEDICAIDt SYDNEY E. BERNARD* EUGENE FEINGOLD* * The Social Security Amendments of 19651 established two new medical care programs: a program of Health Insurance for the Aged, described in title XVIII;2 and one of Medical Assistance, described in title XIX.8 The two programs, popularly known as Medicare and Medicaid, respectively, are frequently confused with one another. Medicare is a federal program which pays for some specified health services for persons aged 65 and over. These services are provided as a matter of right. Some are financed through social insurance; others are financed jointly from general revenues and by means of premiums paid by Medicare beneficiaries. The program is nationally uniform, and is administered by the So- cial Security Administration through private agencies, most com- monly Blue Cross and Blue Shield plans. Medicaid, on the other hand is a federal-state program which has the potential of paying for all medical care expenses for those per- sons, regardless of age, whose income and assets are low enough to meet the eligibility requirements. It is financed jointly by the fed- eral and state governments (in some cases with participation from local government) from general revenues, and varies from state to state. The medical Services Administration of the Department of Health, Education, and Welfare is in charge of the program at the national level. Administration at the state level is carried on by state departments of welfare and health, which operate through private agencies in some cases-again, usually Blue Cross and Blue Shield. In brief, then, Medicaid is a federal grant-in-aid program under which the federal government pays the largest government share of the cost of medical assistance programs established by the states to replace and liberalize the provisions for payment of medical care t This article is drawn from Medicaid and the States, by Professors Feingold and Bernard, to be published by the Brookings Institution next year. The views presented are those of the authors and are not presented as the views of the trustees, officers, or other staff members of the Brook- ings Institution. * Professor of Social Work, University of Michigan. B.A., 1950, Uni- versity of Michigan; M.S.W., 1952, University of Michigan; Ph.D., 1964, Brandeis University. * * Acting Chairman of the Department of Medical Care Organization, School of Public Health, University of Michigan. A.B., 1952, Cornell Uni- versity; A.M., 1958, Princeton University; Ph.D., 1960, Princeton University. 1 Act of July 30, 1965, Pub. L. No. 89-97, 79 STAT. 286. 2 Id. §§ 100-11, 79 STAT. 290-343. 8 Id. §§ 121-22, 201-08, 211, 221-22, 231, 79 STAT. 343-60.

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