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Federalism by Waiver

Medicaid and the Transformation of Long-term Care

Bibliographic Data

ID6376019
AuthorsFaye J Thompson (0000-0001-7581-2204, Rutgers, the State University of New Jersey), Courtney Burke (0009-0004-1463-8803, Rockefeller University)
Year2008
Volume39
Issue1
Pages22-46
Publication date2008-07-30
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePublius The Journal of Federalism (JOURNAL)
Journal identifiersISSN: 0048-5950 • E-ISSN: 1747-7107
PublisherOxford University Press (PUBLISHER • GB)
DOI10.1093/publius/pjn026
OpenAlexW2105525304
LanguageEN
Citations received14
References cited14

In recent years, many states in the U.S. have substantially reinvented their Medicaid programs through the unprecedented use of federal waivers. This article focuses on 1915c program waivers, which gave states the opportunity to overcome Medicaid's institutional bias by offering more home and community-based services. The use of this tool has fueled deinstitutionalization and other program changes. It reflects the rise of executive federalism—the growing tendency for major program decisions to shift from the legislative arena to the executive branch of the national and state governments. By functioning as licenses, the 1915c waivers take devolution via the administrative process to new levels. The proliferation of these waivers suggests a need to revise prior conceptions of federal-state relations, such as picket fence federalism. Copyright 2009, Oxford University Press

Federalism · Health care · Medicaid · Political science · Term (time · Waiver · Healthcare innovation and challenges · Housing, Finance, and Neoliberalism · Law · Medicine · Social Policy and Reform Studies

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    Open Access•Elizabeth Mann Levesque•Presidential Studies Quarterly•2018

  • The Rise of Executive Federalism

    Open Access•Frank J Thompson•The American Review of Public…•2012

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    Open Access•Andrew Saultz, Andrew Mceachin et al.•Educational Researcher•2016

  • The Bigger They Are

    Bryan Shelly•Publius The Journal of Federalism•2013

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    Carol S Weissert•The Journal of Politics•2011

  • Stretched Net

    Thomas Gais, T L Gais•Publius The Journal of Federalism•2009

  • American Federalism and Intergovernmental Management

    Open Access•Frank J Thompson•Public Administration Review•2010

  • Policy Coordination in Federal Systems

    Herman Bakvis, Douglas Brown•Publius The Journal of Federalism•2010

  • Process Learning and the Implementation of Medicaid Reform

    T Callaghan, Lawrence R Jacobs•Publius The Journal of Federalism•2014

  • Deil Wright's Overlapping Model of Intergovernmental Relations

    Robert Agranoff, Beryl A Radin•Publius The Journal of Federalism•2015

  • State and Local Governance Fifteen Years Later

    Open Access•Frank J Thompson•Public Administration Review•2008

  • The Transformation of Public Sector Intellectual/Developmental Disabilities Programming

    Open Access•Robert Agranoff•Public Administration Review•2013

  • Beyond Path Dependence

    Open Access•Simon F Haeder•Policy Studies Journal•2012

  • Policy Analysis and Political Sustainability

    Open Access•Eric M Patashnik, R Kent Weaver•Policy Studies Journal•2021

  • Learning from the States? Federalism and National Health Policy

    Open Access•Carol S Weissert, Daniel Scheller et al.•Public Administration Review•2008

  • Medicaid Section 1115 Waivers

    K Schneider, Saundra K Schneider•Publius The Journal of Federalism•1997

  • Another Look at Bargaining and Negotiating in Intergovernmental Management

    Robert Agranoff, Michael A Mcguire•Journal of Public Administration…•2004

  • Privatizing Risk without Privatizing the Welfare State

    Open Access•Jacob S Hacker•American Political Science Review•2004

  • Federalism, Nationalism, and Democracy in America

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Unique citing works14
Citations per year0,78
Citation span2008 - 2021 (14)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 14
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