Politics and Policy of Health Reform Statewide Payment and Delivery Reform: Do States Have What It Takes?
States' role in payment as well as coverage will be subject to debate as the administration and the Congress decide how to address the Affordable Care Act (ACA) and otherwise reshape the nation's health policies. Acting as stewards of health care for the entire state population and stimulated by con...
| Publicado en: | Journal of Health Politics, Policy & Law Vol. 42; no. 6; pp. 1113 - 1126 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Duke University Press
Dec2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=126065516&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 126065516 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 03616878 HPP jtl: Journal of Health Politics, Policy & Law issn: 03616878 maglogo: N pubinfo: dt: Dec2017 vid: 42 iid: 6 pid: 154 pub: Duke University Press artinfo: ui: 126065516 10.1215/03616878-4193654 ppf: 1113 ppct: 13 formats: tig: atl: Politics and Policy of Health Reform Statewide Payment and Delivery Reform: Do States Have What It Takes? aug: au: Feder, Judy Weil, Alan R. Berenson, Robert Dolan, Rachel Lallemand, Nicole Hayes, Emily affil: Georgetown University Health Affairs Urban Institute Stanford University su: Colorado Minnesota Ohio Oregon United States Vermont Interviewing Medicaid Medical care Medical care costs Health policy Practical politics State governments Health care reform Research methodology Research funding Health insurance reimbursement Patient Protection & Affordable Care Act Accountable care organizations Health insurance exchanges sug: subj: Interviewing Medicaid Medical care Medical care costs Health policy Practical politics State governments Colorado Minnesota Ohio Oregon United States Vermont Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Administration of Public Health Programs Health care reform Research methodology Research funding Health insurance reimbursement Patient Protection & Affordable Care Act Accountable care organizations Health insurance exchanges keyword: delivery reform health reform payment reform state health reform stewardship delivery reform health reform payment reform state health reform stewardship ab: States' role in payment as well as coverage will be subject to debate as the administration and the Congress decide how to address the Affordable Care Act (ACA) and otherwise reshape the nation's health policies. Acting as stewards of health care for the entire state population and stimulated by concern about rising costs and federal support under the ACA, the elected and administrative leaders of some states have been using their political influence and authority to improve their state's overall systems of care regardless of who pays the bill. In early 2015 we conducted on-site interviews with key stakeholders in five states to explore their strategies for payment and delivery reform. We found that despite these states' similar goals, differences in their statutory authority and purchasing power, along with their leaders' willingness to use them, significantly influence a state's ability to achieve reform objectives. We caution federal and state policy makers to recognize the reality that state leaders' political desire to exercise stewardship may not be enough to achieve it. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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