Implementing the Affordable Care Act Health Insurance Exchanges: State Government Choices and Policy Outcomes.
Intense partisan conflict characterized the Affordable Care Act's passage and continues to influence its implementation. The Act granted state officials significant discretionary authority over the implementation of health insurance exchanges and Medicaid expansion. Decisions by state officials vary...
| Published in: | Publius: The Journal of Federalism Vol. 46; no. 3; pp. 416 - 441 |
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| Main Authors: | , |
| Format: | Article |
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Oxford University Press / USA
Summer2016
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=116574419&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 116574419 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00485950 UBL jtl: Publius: The Journal of Federalism issn: 00485950 maglogo: N pubinfo: dt: Summer2016 vid: 46 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 116574419 10.1093/publius/pjw010 ppf: 416 ppct: 25 formats: tig: atl: Implementing the Affordable Care Act Health Insurance Exchanges: State Government Choices and Policy Outcomes. aug: au: Shihyun Noh Krane, Dale affil: University of Nebraska, Omaha su: United States Health insurance Federal government Medicaid Government policy Patient Protection & Affordable Care Act Health insurance premiums sug: subj: Health insurance Federal government Medicaid Government policy United States Direct individual life, health and medical insurance carriers Direct group life, health and medical insurance carriers Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Patient Protection & Affordable Care Act Health insurance premiums ab: Intense partisan conflict characterized the Affordable Care Act's passage and continues to influence its implementation. The Act granted state officials significant discretionary authority over the implementation of health insurance exchanges and Medicaid expansion. Decisions by state officials vary from full state involvement to partial involvement to refusal to administer a state health exchange or expand Medicaid. The federal government administers a health exchange in those states choosing not to operate an exchange. The article examines whether variation in state program choices affects citizen decisions to enroll in an exchange. Also examined is whether health insurance premiums vary by which level of government administers the exchange. The analysis provides evidence that the Act's goals of increased enrollment in health insurance and affordable premiums are influenced by state government decisions on the extent of state involvement in health exchanges and Medicaid expansion. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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