QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Home | Help | Feedback | Subscriptions | Archive | Search | Table of Contents

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Paul-Shaheen, P. A. Search for Related Content PubMed PubMed Citation Social Bookmarking                   What's this?

The States and Health Care Reform: The Road Traveled and Lessons Learned from Seven That Took the Lead

During the past decade, an area of major policy activity among the states has been that of health care reform. As of May 1993, seven states—Florida, Hawaii, Massachusetts, Minnesota, Oregon, Vermont, and Washington—had progressed the furthest in enacting comprehensive statutes designed to expand health insurance coverage and slow the growth of health care costs. This article reviews the activities of these states to achieve health care reform and the lessons learned from those activities. The analysis focuses specifically on identifying the common problems addressed and determining the common factors that maximized states’ opportunities for success. In all, some nine lessons are identified that have relevance for other states wishing to follow a similar road to reform. Most important among these are a "window of opportunity" for policy action, having entrepreneurial leadership to push the reform agenda forward, and support from key stakeholder interests. If these conditions of opportunity, policy entrepreneurship, and stakeholder commitment are met, a state can move forward in addressing key aspects of its health care reform agenda.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				V. Gray, D. Lowery, J. Monogan, and E. K. Godwin Incrementing Toward Nowhere: Universal Health Care Coverage in the States Publius, October 20, 2009; (2009) pjp023v1. [Abstract] [Full Text] [PDF]

				A. S. Chen and M. Weir The Long Shadow of the Past: Risk Pooling and the Political Development of Health Care Reform in the States Journal of Health Politics Policy and Law, October 1, 2009; 34(5): 679 - 716. [Abstract] [PDF]

				N. A. Miller, K. T. Elder, M. Kitchener, Yu Kang, and C. Harrington Medicaid 1915(c) Waiver Use and Expenditures for Persons Living With HIV/AIDS Med Care Res Rev, June 1, 2008; 65(3): 338 - 355. [Abstract] [PDF]

				J. E. McDonough, M. Miller, and C. Barber A Progress Report On State Health Access Reform Health Aff., March 1, 2008; 27(2): w105 - w115. [Abstract] [Full Text] [PDF]