Hybrid Federalism, Partisan Politics, and Early Implementation of State Health Insurance Exchanges.
A central provision of the Affordable Care Act is establishment of state-level health exchanges. While states are given the opportunity to develop and administer these private insurance marketplaces, their plans must meet certain minimum standards or risk preemption by the federal government. This p...
| Publicado en: | Publius: The Journal of Federalism Vol. 43; no. 3; pp. 368 - 392 |
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| Autores principales: | , |
| Formato: | Case Study |
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Oxford University Press / USA
Jul2013
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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=88429911&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 88429911 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: Jul2013 vid: 43 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 88429911 10.1093/publius/pjt012 ppf: 368 ppct: 24 formats: tig: atl: Hybrid Federalism, Partisan Politics, and Early Implementation of State Health Insurance Exchanges. aug: au: Rigby, Elizabeth Haselswerdt, Jake affil: *George Washington University; erigby@gwu.edu George Washington University su: United States Intergovernmental cooperation Medical care Health insurance Government policy Insurance exchanges Federal government of the United States Patient Protection & Affordable Care Act U.S. states politics & government Twenty-first century U.S. states sug: subj: Intergovernmental cooperation Medical care Health insurance Government policy United States All Other Insurance Related Activities Direct individual life, health and medical insurance carriers Direct group life, health and medical insurance carriers Insurance exchanges Federal government of the United States Patient Protection & Affordable Care Act U.S. states politics & government Twenty-first century U.S. states ab: A central provision of the Affordable Care Act is establishment of state-level health exchanges. While states are given the opportunity to develop and administer these private insurance marketplaces, their plans must meet certain minimum standards or risk preemption by the federal government. This policy design establishes a hybrid model of intergovernmental policy making, which may serve to heighten conflict during implementation and further polarize states’ policies. Using new data on states’ efforts to establish exchanges and repeated-events duration modeling, we examine states’ early exchange implementation—identifying a key role for ideological and partisan considerations, as well as the implications of a federal policy design that puts conservative states in the difficult political position of choosing between resisting a law they oppose and preventing further federal intrusion. pubtype: Academic Journal doctype: Case Study src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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