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Making Health Reform Work

The View from the States
Editors:
Publisher:
 2010

Summary

Nearly everyone agrees that the nation's health care system needs to be reformed. By mid-1994 over a half-dozen major reform plans were under consideration in Congress. But beyond the political challenge of passing a reform package lies an even bigger challenge—how to make health reform work!

Critics of the Clinton plan have charged that it's too complex and doomed to administrative failure. Are they right? The nation's health care finance and delivery systems are already immensely complex and problem-ridden. Is it possible to achieve meaningful reforms without adopting new administrative strategies and structures that are equally complex? What role do the states now play in administering the nation's health care system? Is it possible to design administrative success into national health reform plans from the start?

Produced in close consultation with state health care officials from all around the country, this important volume offers practical and timely recommendations for how to make health reform work. It addresses the central implementation, management, and federalism dimensions of reform. Chapters by some of the country's leading health policy and public management experts explore the administrative challenges of reform as they relate to health alliances, cost containment, quality of care, medical education and training, and other key issues. They discuss various working principles for developing an administratively sound health reform policy.

The contributors are Lawrence D. Brown and Michael Sparer, Columbia University; Gerald Garvey, Princeton University; Donald F. Kettl, University of Wisconsin-Madison; James R. Tallon, United Hospital Fund; James W. Fossett and Frank J. Thompson, State University of New York, Albany.



Bibliographic data

Copyright year
2010
ISBN-Print
978-0-8157-1851-2
ISBN-Online
978-0-8157-1733-1
Publisher
Rowman & Littlefield, Lanham
Language
English
Pages
179
Product type
Edited Book

Table of contents

ChapterPages
    1. Contents No access
  1. Introduction No access Pages 1 - 11
  2. 1. Administrative Principles No access Pages 12 - 39
  3. 2. Health Alliances: Functions, Forms, and Federalism No access Pages 40 - 59
  4. 3. Cost Containment and Rate Setting No access Pages 60 - 84
  5. 4. The Quest for Quality Care: Implementation Issues No access Pages 85 - 113
  6. 5. Reform and the Medical Work Force: Choices and Challenges No access Pages 114 - 133
  7. 6. An Ounce of Implementation Needs a Pound of Policy Foresight No access Pages 134 - 142
  8. 7. Implementing Health Reform: What the States Face No access Pages 143 - 156
  9. Notes No access Pages 157 - 172
    1. A No access
    2. B No access
    3. C No access
    4. D No access
    5. E No access
    6. F No access
    7. G No access
    8. H No access
    9. I No access
    10. J No access
    11. K No access
    12. L No access
    13. M No access
    14. N No access
    15. O No access
    16. P No access
    17. Q No access
    18. R No access
    19. S No access
    20. T No access
    21. U No access
    22. V No access
    23. W No access

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