An engine of change? The Affordable Care Act and the shifting politics of demonstration projects

P Rocco, AS Kelly - RSF: The Russell Sage Foundation Journal of the …, 2020 - rsfjournal.org
The Patient Protection and Affordable Care Act (ACA) made a number of institutional
investments intended to expand the federal government's ability to scale successful …

From 'trial and error'to major reform: The politics of Medicare demonstration projects

AS Kelly, P Rocco - Public Administration, 2019 - Wiley Online Library
Facing fragmented institutions and partisan polarization, officials in the United States often
attempt to engineer policy change without assembling new legislative majorities. To this …

The fundamentals of Medicare demonstrations

A Cassidy - 2008 - hsrc.himmelfarb.gwu.edu
Demonstrations are experiments that test Medicare policy changes without permanently
changing the Medicare program. They allow policymakers to learn about the potential …

Perspective: The Need For Demonstrations To Test New Ideas: In addition to determining payments, demonstrations can produce valuable information about how to …

NAM DeParle, RA Berenson - Health Affairs, 2000 - healthaffairs.org
The two papers on Medicare's competitive-pricing demonstrations support the case for
moving the Medicare+ Choice (M+ C) program to market-based pricing. The problem is that …

[PDF][PDF] Examining New York's Delivery System Reform Incentive Payment demonstration: achievements at the demonstration's midpoint and lessons for other states

L Felland, D Lipson, J Heeringa - M50 Mathematica Policy …, 2018 - mathematica.org
Summary New York's Delivery System Reform Incentive Payment (DSRIP) demonstration,
authorized by a Medicaid section 1115 waiver, is an ambitious and complex effort to …

[HTML][HTML] Innovations in Section 1115 demonstrations

J Jordan, A Adamo, T Ehrmann - Health care financing review, 2000 - ncbi.nlm.nih.gov
This article discusses how States have taken advantage of the flexibility afforded under
Section 1115 research and demonstration authority. It describes how States have used …

[CITATION][C] Medicare as incubator for innovation in payment policy

K Janus, LD Brown - Journal of Health Politics, Policy and …, 2007 - read.dukeupress.edu
Over its more than forty-year history, Medicare has often been derided as a poster child for
that lethal policy affliction,“faulty incentives.” The program had no sooner seen the light of …

Systemic reform of health care delivery and payment

HJ Aaron - The Economists' Voice 2.0: The Financial Crisis, Health …, 2012 - degruyter.com
THE AFFORDABLE CARE ACT (ACA) became law on March 23, 2010, but little of it is yet
actively in effect. Not until January 1, 2014, will the Medicaid extensions, the individual …

Commentary on Part I: Objectives of the ACA

J Roosevelt Jr, T Burke, P Jean - The Affordable Care Act as a National …, 2013 - Springer
Even before the November 2012 elections abruptly terminated the electoral challenge to the
ACA, President Obama's signature policy accomplishment had already set in motion …

State implementation of the Affordable Care Act: Four case studies

M Mayer, RC Kenter, JC Morris, L Lucero - Politics & Policy, 2018 - Wiley Online Library
The Affordable Care Act (ACA) has been the subject of one of the most contentious policy
issues in recent memory. Previous research has tracked the volatility of state decisions over …