This study explored the process of implementation of a federal redistributive health policy at the state level. The policy explored was The State Children's Health Insurance Program of 1997(SCHIP), which allowed state participation and discretion in program construction within federal guidelines. The three central research questions addressed here were: What factors helped to explain the implementation of SCRIP in Massachusetts, Georgia and Ohio from 1997 to 2003? To what extent could implementation outcomes be explained by four rival theories of implementation: Leadership and Competence, Power Relations, Pursuit of Rationality, and the model of Organization-Policy Fit? What could be said about the interplay between leadership, power and negotiating, goals and means, and institutions when implementing federal health policy in the states, and did this interplay display different characteristics during the initial implementation stage and also during policy reformulation?Ohio used such a group in eliciting suggestions for program design, however formal involvement of the group ended ... through the Childrena#39;s Health Advisory Council, a 14-member commission appointed by the insurance commission to advise on program administration. Interestingly, consumer advocates were not represented on the group but generally like the leadership of the program, noting ... Theoretical Framework and Propositions: Taken together, the themes detailed above 50.
|Title||:||State Level Implementation of Federal Health Policy: SCHIP in the States|
|Author||:||Robert J. McGrath (II.)|
|Publisher||:||ProQuest - 2006|