Implementing Health Reform: Intergovernmental Bargaining and the Affordable Care Act.

Implementation of the insurance-exchange and Medicaid-expansion provisions of the Affordable Care Act offers an opportunity to analyze the sources and extent of state and federal government leverage in bargaining over the rollout of a major federal program. What stands out from this study is state o...

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Publicado en:Publius: The Journal of Federalism Vol. 44; no. 3; pp. 399 - 426
Autor principal: Dinan, John
Formato: Case Study
Publicado: Oxford University Press / USA Jul2014
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Implementing Health Reform: Intergovernmental Bargaining and the Affordable Care Act.
      aug:
        au: Dinan, John
        affil: Wake Forest University; dinanjj@wfu.edu
      su:
        United States
        United States. Dept. of Health & Human Services
        Intergovernmental cooperation
        Medicaid
        Patient Protection & Affordable Care Act
        Health care reform
        Insurance exchanges
        U.S. states politics & government
        Utah state politics & government
        Twenty-first century
      sug:
        subj:
          Intergovernmental cooperation
          Medicaid
          United States
          United States. Dept. of Health & Human Services
          All Other Insurance Related Activities
          Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
          Administration of Public Health Programs
          Patient Protection & Affordable Care Act
          Health care reform
          Insurance exchanges
          U.S. states politics & government
          Utah state politics & government
          Twenty-first century
      ab: Implementation of the insurance-exchange and Medicaid-expansion provisions of the Affordable Care Act offers an opportunity to analyze the sources and extent of state and federal government leverage in bargaining over the rollout of a major federal program. What stands out from this study is state officials’ ability to leverage their administrative capacity and policy expertise as well as their power to decline participation in federal programs in order to influence implementation of a federal initiative. State officials’ influence is heightened when the program depends on state participation to achieve key federal objectives, when state threats to decline participation are meaningful, and when state nonparticipation threatens the success of a signature item on a president’s policy agenda.
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    language: English
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