American Federalism in Practice: The Formulation and Implementation of Contemporary Health Policy

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9780815724834: American Federalism in Practice: The Formulation and Implementation of Contemporary Health Policy


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.


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About the Author:



Michael Doonan is an assistant professor at the Heller Graduate School at Brandeis University. He is also executive director of the Massachusetts Health Policy Forum and director of the Council for Health Care Economics and Policy.


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"Michael Doonan has filled an important niche with this illuminating analysis of health care, federalism, and policy implementation. In American Federalism in Practice, Doonan's authoritative case studies and policy analysis generate important insights into intergovernmental relations, federal rule making, and policy implementation. Anyone interested in the implementation of health care reform will want to read this book."―Timothy Conlan, George Mason University

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Book Description BROOKINGS INSTITUTION, United States, 2013. Paperback. Book Condition: New. Language: English . Brand New Book. 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. Bookseller Inventory # AAN9780815724834

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Book Description BROOKINGS INSTITUTION, United States, 2013. Paperback. Book Condition: New. Language: English . Brand New Book. 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. Bookseller Inventory # AAN9780815724834

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Book Description Brookings Institution Press. Paperback. Book Condition: New. 160 pages. Dimensions: 8.9in. x 5.9in. x 0.5in.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 todays 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 Childrens 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. This item ships from multiple locations. Your book may arrive from Roseburg,OR, La Vergne,TN. Paperback. Bookseller Inventory # 9780815724834

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Book Description Paperback. Book Condition: New. Paperback. 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, .Shipping may be from multiple locations in the US or from the UK, depending on stock availability. 160 pages. 0.245. Bookseller Inventory # 9780815724834

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