Beyond Path Dependence: Explaining Healthcare Reform and Its Consequences

Haeder, Simon F.

doi:10.1111/j.1541-0072.2012.00446.x

Cited by 29 publications

(22 citation statements)

References 99 publications

(152 reference statements)

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“…Third, much of health care requires rules for health care providers and insurers, and such regulation has long been under the purview of states (Meier 1988; Grace and Klein 2009). Fourth, the federal government often simply lacks the capacity to implement programs across fifty diverse states and therefore has to rely on the state and local governments as well as private partners (Haeder 2012).…”

Section: Themes From Past Shared Federal-state Health Programsmentioning

confidence: 99%

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

Haeder

Weimer

2015

Journal of Health Politics, Policy and Law

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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 the ACA and 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.

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Section: Themes From Past Shared Federal-state Health Programsmentioning

confidence: 99%

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

Haeder

Weimer

2015

Journal of Health Politics, Policy and Law

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“…1 A key component is the insurance exchange, or Marketplace, whose main role is to improve the amount and quality of information available to consumers shopping for health insurance by facilitating plan comparisons, assessing and regulating plan quality, and streamlining enrollment. Equally important is the Marketplace's role in assessing consumers' eligibility for state Medicaid programs and the Children's Health Insurance Program (CHIP), as well as the determination of eligibility for federal subsidies for the purchase of insurance.While offering a program floor and federal backstop-that is, by setting certain minimum standards and by ensuring access to coverage under a federal Marketplace in states that refuse to establish their own-the ACA allows states substantial leeway in determining Marketplace governance, structure, and function.…”

Section: The Aca and Insurance Marketplacesmentioning

confidence: 99%

California Hospital Networks Are Narrower In Marketplace Than In Commercial Plans, But Access And Quality Are Similar

2015

Self Cite

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California hospital networks are narrower in marketplace than in commercial plans, but access and quality are similar To answer these questions, we analyzed differences in hospital networks across similar plan types offered both in the Marketplace and commercially, by region and insurer. We found that the common belief that Marketplace plans have narrower networks than their commercial counterparts appears empirically valid. However, there does not appear to be a substantive difference in geographic access as measured by the percentage of people residing in at least one hospital market area. More surprisingly, depending on the measure of hospital quality employed, the Marketplace plans have networks with comparable or even higher average quality than the networks of their commercial counterparts.

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“…Each year we solicit recommendations for advanced graduate students, working under the guidance of (and often as co‐authors with) leading public policy scholars to write the review articles. Previous essays covered topics including: agenda‐setting (Pump, ), policy analysis (Carlson, ), policy history (deLeon & Gallagher, ), policy process theories (Nowlin, ), public opinion (Mullinix, ), defense and security (Ripberger, ), education policy (Conner & Rabovsky, ), governance (Robichau, ), comparative public policy (Gupta, ), economic policy (Pump, ), environmental policy (Niles & Lubell, ), health policy (Haeder, ), social policy (Guzman, Pirog, & Seefeldt, ), law and public policy (Kreis & Christensen, ), and international relations and policy (Redd & Mintz, ). This year's special issue includes the first of our review articles to be in the second iteration for their theoretical issue areas in the Yearbook .…”

Section: Policy Scholarship: New Developments Snapshots and Trendsmentioning

confidence: 99%

2014 Public Policy Yearbook: Recent Developments in Public Policy Research

Trousset¹,

Jenkins‐Smith²,

Weible³

2014

Policy Studies Journal

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We are pleased to present the sixth edition of the Public Policy Yearbook. Each year, dating back to its launch in 2009, we have used the content of the Yearbook to develop indicators for tracking developments in public policy scholarship. While we recognize that trends we can identify are only representative of the sample of Yearbook scholars, the patterns of scholarly focus have remained quite stable despite a more than doubling of our membership over the 2009-2014 period. In this introductory article, following a brief description of the Yearbook, we take a comparative look at how research trends in the Yearbook have evolved over the last six years. What Is the Yearbook?The Yearbook was initiated as a hard-copy special edition of the Policy Studies Journal in 2009, and then migrated to an open-access, web-based format (www.psjyearbook.com) in 2011. Each year, through our fall campaign we contact scholars and ask them to provide us with their most recent contact information, fields of specialization, research publications, and a brief summary stating their research interests. This information is verified and presented in a format that provides users with easy access to the Yearbook's content via the Internet.The mission of the Yearbook falls primarily into two categories. We designed the Yearbook to allow users to have a systematic way to identify the broader public policy research community. The multidisciplinary nature of public policy research can make it challenging to identify the experts studying various policy problems, and the Yearbook provides a convenient and helpful instrument to do so. The Yearbook is a broadly inclusive international listing of experts in various public policy domains, identifying individuals working on public policy problems in over 47 countries. By assembling this content, the Yearbook also provides an excellent tool for public policy scholars to increase and broaden the visibility of their work, and to provide the means to network with other researchers, scholars, and graduate students. In addibs_bs_banner The Policy Studies Journal, Vol. 42, No. S1, 2014 S1 0190-292X

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Beyond Path Dependence: Explaining Healthcare Reform and Its Consequences

Cited by 29 publications

References 99 publications

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

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

California Hospital Networks Are Narrower In Marketplace Than In Commercial Plans, But Access And Quality Are Similar

2014 Public Policy Yearbook: Recent Developments in Public Policy Research

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