LEADER 04108nam 2200613 a 450 001 9910790566203321 005 20230803021505.0 010 $a0-8157-2484-5 035 $a(CKB)2550000001112202 035 $a(EBL)1358568 035 $a(SSID)ssj0000984142 035 $a(PQKBManifestationID)11547816 035 $a(PQKBTitleCode)TC0000984142 035 $a(PQKBWorkID)11011471 035 $a(PQKB)11333431 035 $a(MiAaPQ)EBC1358568 035 $a(OCoLC)857278712 035 $a(MdBmJHUP)muse32290 035 $a(Au-PeEL)EBL1358568 035 $a(CaPaEBR)ebr10753085 035 $a(CaONFJC)MIL512092 035 $a(EXLCZ)992550000001112202 100 $a20130625d2013 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aAmerican federalism in practice$b[electronic resource] $ethe formulation and implementation of contemporary health policy /$fMichael Doonan 210 $aWashington, D.C. $cBrookings Institution Press$d2013 215 $a1 online resource (169 p.) 300 $aDescription based upon print version of record. 311 $a0-8157-2483-7 311 $a1-299-80841-7 320 $aIncludes bibliographical references and index. 327 $aAcknowledgments -- 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. 330 $aAmerican 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. 606 $aHealth insurance$zUnited States 606 $aHealth insurance$zMassachusetts 606 $aChild health services$zUnited States 606 $aChild health services$zMassachusetts 615 0$aHealth insurance 615 0$aHealth insurance 615 0$aChild health services 615 0$aChild health services 676 $a368.38/20083 700 $aDoonan$b Michael$g(Michael T.)$01565866 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910790566203321 996 $aAmerican federalism in practice$93835914 997 $aUNINA