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waivers for state innovation

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Journal Article
Journal of Health Politics, Policy and Law (1 December 2015) 40 (6): 1203–1212.
Published: 01 December 2015
...Heather Howard; Galen Benshoof Abstract In the federalist spirit of the rest of the Affordable Care Act (ACA), section 1332 of the law authorizes new optional waivers for state innovation. These waivers, 1332 waivers, as they have become known, offer states the flexibility to refashion their...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2014) 39 (5): 1099–1111.
Published: 01 October 2014
... Allison's question on whether Arkansas should take advantage of the ACA's “Waiver for State Innovation,” and John McDonough's response, is an example of the work that came out of this productive process. They represent the first of three sets of essays, which will be published in this section in future...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2019) 44 (2): 315–331.
Published: 01 April 2019
... Innovation Waivers that implement high-risk pool/state-operated reinsurance programs may be an opportunity for states to lower premiums for consumers, improve market stability, and increase consumer choice” (Price 2017 ). With 13 states (Alaska, California, Hawaii, Iowa, Maine, Maryland, Massachusetts...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2007) 32 (6): 971–1004.
Published: 01 December 2007
... Maine resulted from one of the authors serving as a reviewer for an innovations award program. The state had been heavily involved in negotiations with the national government over a waiver. 974 Journal of Health Politics, Policy and Law not exclusive, authorization for demonstration waivers...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2018) 43 (2): 305–323.
Published: 01 April 2018
... for customized attempts at improvement and innovation in Medicaid that can be used as components of Section 1115 waivers. Prior research supports this idea and has shown that current DSRIP waivers vary substantially across states but have the common goal of linking performance to Medicaid payment and...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2012) 37 (5): 815–849.
Published: 01 October 2012
... for State Flexibility: The Case of the U.S. State Children's Health Insurance Program.” Publius 39 ( 1 ): 47 – 69 . doi:10.1093/publius/pjn031 . Hays Scott P. 1996 . “Influences on Reinvention during the Diffusion of Innovations.” Political Research Quarterly 49 ( 3 ): 631...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2017) 42 (2): 247–284.
Published: 01 April 2017
... to how a state modified their Medicaid programs is how a state talked about Medicaid and reform. We investigate whether the rhetoric that emerged in waiver states is unique, analyze whether the rhetoric is associated with particular waiver reforms, and consider the implications of our findings for...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2014) 39 (5): 1089–1098.
Published: 01 October 2014
... for the federal government. Under the broadened scope of section 1332 waivers, states will be able to capture such savings and use them to support innovation across both Medicaid-funded and Treasury-subsidized programs and populations. Copyright © 2014 by Duke University Press 2014 Freely...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2017) 42 (6): 1039–1064.
Published: 01 December 2017
...Marian Jarlenski; Philip Rocco; Renuka Tipirneni; Amy Jo Kennedy; Nivedita Gunturi; Julie Donohue Abstract Since the Supreme Court decided that the Affordable Care Act's (ACA) Medicaid expansion is optional for the states, several have obtained federal approval to use Section 1115 waivers to expand...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2007) 32 (2): 293–306.
Published: 01 April 2007
... innovators: expertise, staff attention, insulation, incubation, salesmanship, and the capacity to “test” strategies by the trials and errors of waivers and demonstrations. Sixth, reforms focus on refiguring incentives, on paying providers to do the right (or to avoid doing the wrong) things — for...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2007) 32 (1): 89–129.
Published: 01 February 2007
... assistance programs are the innovation, beginning in 1975 with two states and spreading eventually to thirty-one by 2004. It appears that the internal determinants model holds the most promise. Specifically, we examine the intensity of the policy problem in the states, their capacity 5. For a...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1997) 22 (3): 721–789.
Published: 01 June 1997
...Thomas R. Oliver; Pamela Paul-Shaheen States are often touted as “laboratories” for developing national solutions to social problems. In this article we examine the appropriateness of this metaphor for comprehensive health care reform and attempt to draw lessons about policy innovation from recent...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2018) 43 (1): 5–18.
Published: 01 February 2018
... pharmaceutical industry's most commonly invoked objection (PhRMA 2016 ). By law, drug manufacturers cannot charge state Medicaid programs more than the “best price” that they offer for the drug in the private market. Under these novel pricing models, however, manufacturers may charge less when their drugs...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2014) 39 (6): 1277–1288.
Published: 01 December 2014
..., benefit components, and reporting requirements. The state legislative and federal 1115 demonstration waiver authorizations for the private option cover the period from 2014 through 2016. Not surprisingly, evaluating the demonstration project and its innovative application of premium assistance...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2003) 28 (2-3): 245–270.
Published: 01 June 2003
... levels of government prod each other to try and do more. This sort of intergovernmental partnership provides the best model for innovative health policy leadership. © 2003 by Duke University Press 2003 Academy for Health Services Research and Health Policy. 2002 . State of the States: 2002...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2014) 39 (4): 941–946.
Published: 01 August 2014
... organizations (CCOs) and the state. Equally important, the Oregon experiment mandates coverage of medical, behavioral, and dental health care using flexible coverage, with the locus of delivery innovation focused at the individual CCO level and with financial consequences for quality-of-care metrics. But...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1998) 23 (2): 363–390.
Published: 01 April 1998
... programs into closer administrative alignment. Taken together, the basic Medicaid program and Medicaid waivers for HCBS constitute the largest source of state LTC expenditures. Medicaid coverage of long-term care includes coverage of care in nursing homes and home health care (although the latter is...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2014) 39 (3): 667–677.
Published: 01 June 2014
... projects). For example, states are required by the Center for Medicare and Medicaid Services to arrange for independent evaluations of Medicaid waivers and other discretionary funding opportunities. Universities provide a wide range of expertise for this multifaceted work. A second application of the...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2009) 34 (5): 679–716.
Published: 01 October 2009
... exploit the political opportunities presented by American federalism to launch bold, new experiments with health care policy. The states have since become even more of a hothouse for policy innovation. Massachu- setts, Oregon, Minnesota, Vermont, Washington, and Maine — to name just a handful of...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1987) 12 (2): 237–252.
Published: 01 April 1987
... reforms, describing the innovations and assessing the implementation process in each state. These case studies are used to illustrate broad issues and processes of Medicaid reform. Six lessons emerge from our analysis: (1) Expect reform models to change over time; (2) strive for predictability and...