American federalism in practice : the formulation and implementation of contemporary health policy

American Federalism In Practice Is A Major Contribution To Our Understanding Of Contemporary Health Policy In America. Always An Important Topic, The Issue Holds Special Currency Today Given The Prominence Of Health Care In Today's Political And Economic Landscape. Michael Doonan Provides A Unique Perspective On American Federalism And U.s. Health Policy In Explaining How Intergovernmental Relations Shape Public Policy In Health As Well As Other Critical Areas. Doonan Tracks Federal-state Relations Through The Creation, Formulation, And Implementation Of Three Of The Most Important Health Policy Initiatives Since The Great Society: The Children's Health Insurance Program (chip) And The Health Insurance Portability And Accountability Act (hipaa), Both Developed In Congress, And The Massachusetts Health Care Reform Program As It Was Developed And Implemented Under Federal Government Waiver Authority. Massachusetts, Though Not Without Having To Face Challenges, Actually Succeeded In Lowering Its Uninsured Rate To Below Two Percent. Success And Failure Of These Three Programs Can Be Traced In Large Part To A Balance Between State Flexibility And Accountability To Meet Program Goals. Achieving That Balance Is Not Easy, Of Course, But Lessons Learned From Previous Successes --and Failures --in Structuring Intergovernmental Relations Offer Unique Insights Into National Health Reform And Contemporary Public Policy. Doonan Reveals How Federalism Can Shift As The Sausage Of Public Policy Is Made, Providing A Previously Missing Link Between Federalism Theory And Practice. His Work Should Change The Way People Think About Federalism In A Policy Context While Providing A New And Useful Framework Through Which We Can View, And Hopefully Comprehend, Some Of The Most Important And Polarizing Policy Debates Of Our Time. Acknowledgments -- Federalism Creates Health Policy -- Chip : Federalism In Congress -- Chip : Federalism And Rulemaking -- Chip : Federalism And Implementation -- Hipaa : Federalism In Congress -- Hipaa : Federalism And Rulemaking -- Hipaa : Federalism And Implementation -- Massachusetts Leads The Way -- Federalism And The Affordable Care Act -- Notes -- Index. Michael Doonan. Includes Bibliographical References And Index.

American Federalism in Practice is an original and important contribution to our understanding of contemporary health policy. It also illustrates how contentious public policy is debated, formulated, and implemented in today's overheated political environment.

Health care reform is perhaps the most divisive public policy issue facing the United States today. Michael Doonan provides a unique perspective on health policy in explaining how intergovernmental relations shape public policy. He tracks federal-state relations through the creation, formulation, and implementation of three of the most important health policy initiatives since the Great Society: the State Children's Health Insurance Program (CHIP) and the Health Insurance Portability and Accountability Act (HIPAA), both passed by the U.S. Congress, and the Massachusetts health care reform program as it was developed and implemented under federal government waiver authority. He applies lessons learned from these cases to implementation of the Affordable Care Act.

"Health policymaking is entangled in a complex web of shared, overlapping, and/or competing power relationships among different levels of government," the author notes. Understanding federal-state interactions, the ways in which they vary, and the reasons for such variation is essential to grasping the ultimate impact of federalism on programs and policy. Doonan reveals how federalism can shift as the sausage of public policy is made while providing a new framework for comprehending one of the most polarizing debates of our time.

div pemAmerican Federalism in Practice/em is an original and important contribution to our understanding of contemporary health policy. It also illustrates how contentious public policy is debated, formulated, and implemented in today's overheated political environment./p pHealth care reform is perhaps the most divisive public policy issue facing the United States today. Michael Doonan provides a unique perspective on health policy in explaining how intergovernmental relations shape public policy. He tracks federal-state relations through the creation, formulation, and implementation of three of the most important health policy initiatives since the Great Society: the State Children's Health Insurance Program (CHIP) and the Health Insurance Portability and Accountability Act (HIPAA), both passed by the U.S. Congress, and the Massachusetts health care reform program as it was developed and implemented under federal government waiver authority. He applies lessons learned from these cases to implementation of the Affordable Care Act./p p"Health policymaking is entangled in a complex web of shared, overlapping, and/or competing power relationships among different levels of government," the author notes. Understanding federal-state interactions, the ways in which they vary, and the reasons for such variation is essential to grasping the ultimate impact of federalism on programs and policy. Doonan reveals how federalism can shift as the sausage of public policy is made while providing a new framework for comprehending one of the most polarizing debates of our time./p /div This book is a major contribution to our understanding of contemporary health policy in America. Always an important topic, the issue holds special currency today given the prominence of health care in today's political and economic landscape. Stemming from his service as a member of President Clinton's Health Care Taskforce and as a fellow for the U.S. Senate Finance Committee as they considered national reform, Michael Doonan provides a unique perspective on American federalism and U.S. health policy in explaining how intergovernmental relations shape public policy in health as well as other critical areas Front Cover 1 Title Page 4 Copyright Information 5 Table of Contents 6 Acknowledgments 8 Federalism Creates Health Policy 10 CHIP: Federalism in Congress 25 CHIP: Federalism and Rulemaking 39 CHIP: Federalism and Implementation 52 HIPPA: Federalism in Congress 66 HIPAA: Federalism and Rulemaking 80 HIPAA: Federalism and Implementation 93 Massachusetts Leads the Way 108 Federalism and the Affordable Care Act 124 Notes 140 Index 162 Back Cover 169