Colonial Care: Exploring How a Potential Funding Increase Could Improve Puerto Rico’s Medicaid Program and Health Care System
Abstract/Contents
- Abstract
- This thesis analyzes the potential impact of raising the Medicaid Federal Medical Assistance Percentage rate for Puerto Rico on the island’s health system. It begins with an historical overview of the Medicaid program in Puerto Rico and of problems related to program administration and funding, both of which differ substantially from Medicaid in the mainland United States. It then compares the effects of the Affordable Care Act’s Medicaid expansion in Puerto Rico to what occurred in the rest of the United States and analyzes relevant literature pertaining to the benefits of Medicaid expansion on the mainland. The use of block grant funding for Puerto Rico, as opposed to a full Medicaid expansion, resulted in the island experiencing fewer benefits than its state counterparts. Based on an original analysis of publicly reported data on healthcare utilization and health outcomes in Puerto Rico, and application of an evaluative framework adapted from other health policy analyses, the thesis concludes that the funding mechanism for Puerto Rico’s Medicaid program should be altered to match that of the rest of the United States.
Description
| Type of resource | text |
|---|---|
| Date created | May 31, 2021 |
Creators/Contributors
| Author | Santiago, Abdiel |
|---|---|
| Primary advisor | Mello, Michelle |
Subjects
| Subject | Puerto Rico |
|---|---|
| Subject | Medicaid |
| Subject | FMAP |
| Subject | Affordable Care Act |
| Subject | Medicaid expansion |
| Subject | physician retention |
| Subject | health care |
| Subject | health outcomes |
| Genre | Thesis |
Bibliographic information
Access conditions
- Use and reproduction
- User agrees that, where applicable, content will not be used to identify or to otherwise infringe the privacy or confidentiality rights of individuals. Content distributed via the Stanford Digital Repository may be subject to additional license and use restrictions applied by the depositor.
- License
- This work is licensed under a Creative Commons Attribution 3.0 Unported license (CC BY).
Preferred citation
- Preferred Citation
- Santiago, Abdiel. (2021). Colonial Care: Exploring How a Potential Funding Increase Could Improve Puerto Rico’s Medicaid Program and Health Care System. Stanford Digital Repository. Available at: https://purl.stanford.edu/cq252qt1178
Collection
Stanford University, Public Policy Program, Masters Theses and Practicum Projects
View other items in this collection in SearchWorksContact information
- Contact
- abdiel.sant.16@gmail.com
Also listed in
Loading usage metrics...