Politics at the Cutting Edge
Intergovernmental Policy Innovation in the Affordable Care Act
Bibliographic Data
| ID | 6375468 |
|---|---|
| Authors | Philip Rocco (0000-0001-5971-7039, Marquette University), Andrew S Kelly (0000-0002-6834-1050, California State University, East Bay), Ann Keller (0000-0001-5467-2898), Ann C Keller (University of California, Berkeley) |
| Year | 2018 |
| Volume | 48 |
| Issue | 3 |
| Pages | 425-453 |
| Publication date | 2018-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Publius The Journal of Federalism (JOURNAL) |
| Journal identifiers | ISSN: 0048-5950 • E-ISSN: 1747-7107 |
| Publisher | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1093/publius/pjy010 |
| OpenAlex | W2804213664 |
| Language | EN |
| Citations received | 9 |
| References cited | 20 |
In the eight years since the passage of the Patient Protection and Affordable Care Act (ACA), state governments have remained critical sites of contention over the law. Intense partisan conflict over ACA implementation has raised questions about traditional theories of intergovernmental relations, which posit that federal–state cooperation depends largely on policy design. Yet, few studies have examined how partisanship, as well as other important factors, shape state policy innovations under the ACA. This article examines the ACA’s State Innovation Models (SIM) initiative. SIM is specifically geared towards incentivizing states to experiment with new models of payment and delivery that can improve health outcomes and/or reduce health-care costs. Drawing on a combination of quantitative and qualitative evidence, we find that states’ participation in SIM is shaped by partisanship, administrative capacity, and state policy legacies. Our findings have implications for future efforts at intergovernmental health reforms
Economics · Health care · Health care reform · Health insurance · Patient Protection and Affordable Care Act · Payment · Political science · Politics · Public economics · State (computer science · Policy Transfer and Learning · Political Influence and Corporate Strategies · Public Policy and Administration Research · Finance · Health Policy · Law · Public Administration
An Engine of Change? The Affordable Care Act and the Shifting Politics of Demonstration Projects
A Renaissance in State Interest Group Studies
From Many Divides, One? The Polarization and Nationalization of American State Party Platforms, 1918–2017
The Power of a Tweet? Social Media, Presidential Communication, and the Politics of Health
The State of American Federalism 2024–2025
Political Science and U.S. Health Policy in the Era of the Affordable Care Act
Explaining Intergovernmental Conflict in the Covid-19 Crisis
Medicaid Expansion during the Trump Presidency
Policy venue preference and relative trust in government in federal systems
Exchange Politics
The Influence of Federal Grants
Opting In, Opting Out
The Politics of Need
The President and the States
Process Learning and the Implementation of Medicaid Reform
Money and Mandates
Hybrid Federalism, Partisan Politics, and Early Implementation of State Health Insurance Exchanges
You Can't Make Me Do It
| Unique citing works | 9 |
|---|---|
| Citations per year | 1,29 |
| Citation span | 2019 - 2026 (8) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 9 |