You Can't Make Me Do It, but I Could Be Persuaded: A Federalism Perspective on the Affordable Care Act.

The Affordable Care Act (ACA) seeks to change fundamentally the US health care system. The responses of states have been diverse and changing. What explains these diverse and dynamic responses? We examine the decision making of states concerning the creation of Pre-existing Condition Insurance Plan...

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Published in:Journal of Health Politics, Policy & Law Vol. 40; no. 2; pp. 281 - 324
Main Authors: Haeder, Simon F., Weimer, David L.
Format: Article
Published: Duke University Press Apr2015
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Apr2015
      vid: 40
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      pub: Duke University Press
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        atl: You Can't Make Me Do It, but I Could Be Persuaded: A Federalism Perspective on the Affordable Care Act.
      aug:
        au:
          Haeder, Simon F.
          Weimer, David L.
        affil: University of Wisconsin-Madison
      su:
        United States
        Federal government
        Health maintenance organizations
        Insurance
        Medicaid
        Medical care research
        Health policy
        Practical politics
        State governments
        Government aid
        Government programs
        Government regulation
        Human services programs
        Health insurance laws
        Chi-squared test
        Endowments
        Medically uninsured persons
        Logistic regression analysis
        Eligibility (Social aspects)
        Patient Protection & Affordable Care Act
        Descriptive statistics
        State health plans
        Health insurance exchanges
        Preexisting medical condition coverage
        Health care reform
      sug:
        subj:
          Federal government
          Health maintenance organizations
          Insurance
          Medicaid
          Medical care research
          Health policy
          Practical politics
          State governments
          Government aid
          Government programs
          Government regulation
          Human services programs
          United States
          Grantmaking Foundations
          HMO Medical Centers
          Community health centres
          Other Insurance Funds
          Third Party Administration of Insurance and Pension Funds
          All Other Insurance Related Activities
          Direct group life, health and medical insurance carriers
          Direct individual life, health and medical insurance carriers
          Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
          Administration of Public Health Programs
          Health insurance laws
          Chi-squared test
          Endowments
          Medically uninsured persons
          Logistic regression analysis
          Eligibility (Social aspects)
          Patient Protection & Affordable Care Act
          Descriptive statistics
          State health plans
          Health insurance exchanges
          Preexisting medical condition coverage
          Health care reform
      keyword:
        Affordable Care Act (ACA)
        health care reform
        health insurance marketplaces
        Pre-existing Condition Insurance Plan (PCIP)
        Affordable Care Act (ACA)
        health care reform
        health insurance marketplaces
        Pre-existing Condition Insurance Plan (PCIP)
      ab: The Affordable Care Act (ACA) seeks to change fundamentally the US health care system. The responses of states have been diverse and changing. What explains these diverse and dynamic responses? We examine the decision making of states concerning the creation of Pre-existing Condition Insurance Plan programs and insurance marketplaces and the expansion of Medicaid in historical context. This frames our analysis and its implications for future health reform in broader perspective by identifying a number of characteristics of state-federal grants programs: (1) slow and uneven implementation; (2) wide variation across states; (3) accommodation by the federal government; (4) ideological conflict; (5) state response to incentives; (6) incomplete take-up rates of eligible individuals; and (7) programs as stepping-stones and wedges. Assessing the implementation of the three main components of the ACA, we find that partisanship exerts significant influence, yet less so in the case of Medicaid expansion. Moreover, factors specific to the insurance market also play an important role. Finally, we conclude by applying the themes to theACAand offer an outlook for its continuing implementation. Specifically, we expect a gradual move toward universal state participation in the ACA, especially with respect to Medicaid expansion.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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