he two changes Congress enacted in 1997 to keep the HI Trust Fund solvent? How difficult will it be politically for Congress to enact Medicare reform?…

  1. What are the consequences of the two changes Congress enacted in 1997 to keep the HI Trust Fund solvent? 
  2. How difficult will it be politically for Congress to enact Medicare reform? 
  3. Why has the number of people on Medicaid increased so sharply in recent years, and how are Medicaid expenditures distributed among different population groups? 
  4. How has the movement by Medicaid to managed care affected traditional safety-net providers? 
  5. Why will contracting with HMOs to provide care to Medicaid patients increase access to care for Medicaid enrollees? 

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