Hybrid Federalism, Partisan Politics, and Early Implementation of State Health Insurance Exchanges

Rigby, Elizabeth; Haselswerdt, Jake

doi:10.1093/publius/pjt012

Cited by 65 publications

(40 citation statements)

References 14 publications

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“…A key assumption in the fiscal federalism literature is that goal congruence and oversight are important to implementation performance (as defined by the federal government) (Chubb, ). This assumption has been tested in terms of political actors and preferences (Nicolson‐Crotty, ; Rigby & Haselswerdt, ). Here, I have tested it in terms of the use of program performance metrics.…”

Section: Resultsmentioning

confidence: 99%

“…Recently, there have been a number of examples wherein Republican governors refused federal grant dollars under President Obama and a Democratically controlled Congress (Eaton, ; Nicholson‐Crotty, 2012). Not only is this suggestive of the desire to not work with the federal government, but it is also indicative of a desire to see federal policies enacted by the other party fail (Rigby & Haselwerdt, ) . With close affiliations between state and national parties, state elected officials often have an incentive to impede federal programs enacted under the other party in the hope that program failure will reflect badly on the opposing party.…”

Section: Achieving Performance Goalsmentioning

confidence: 99%

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Performance Goal Achievement in Fiscal Federalism: The Influence of State Partisan Environments and Regulatory Regimes

Terman¹

2015

Policy Studies Journal

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With tight budgets and hyper‐partisan interactions within and between the states and federal government, attention is being paid to the implementation of federal programs. This is particularly important because, as the recently implemented American Recovery and Reinvestment Act suggests, state administrators are often the implementers of federal policy. This study integrates the fiscal federalism literature with that on implementation and bureaucratic response to examine the effect that within‐state factors have on the degree of performance goal achievement in federally funded, state implemented programs. The findings suggest that, when implementing federal programs, state administrators face conflicting political incentive structures and policy‐specific capacity and capability deficits that influence their motivation and ability to achieve performance goals.

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Section: Resultsmentioning

confidence: 99%

Section: Achieving Performance Goalsmentioning

confidence: 99%

Performance Goal Achievement in Fiscal Federalism: The Influence of State Partisan Environments and Regulatory Regimes

Terman¹

2015

Policy Studies Journal

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“…Even now that health care reform has withstood major challenges to its legitimacy, achieving what Jacobs and Ario (2012) characterized as a political trifecta-affirmation of constitutionality by the Supreme Court, the reelection of President Obama, and the retention of a Democratic Senate majority-we continue to see partisan conflict surrounding its implementation (Haeder and Weimer 2013;Rigby 2012;Rigby and Haselswerdt 2013). This ongoing partisan opposition is puzzling to many supporters of the law, who focus on its market-based delivery mechanisms and limited direct government provision, characterizing it as an ideologically moderate reform.…”

Section: Resultsmentioning

confidence: 99%

“…It seems that the two enacted Republican proposals were included from the beginning, as elements of more controversial Democratic proposals, and remained on the periphery throughout the debate, receiving no challenge from legislators of either party. As an aside, this is notable, given most Republican governors'refusal to implement one of these two provisions: health care exchanges (Rigby and Haselswerdt 2013). Yet this may be due to the many ways in which this rather benign Republican proposal was interwoven with other Democratic proposals that Republican legislators opposed.…”

Section: Stages Of the Legislative Debatementioning

confidence: 99%

Party Politics and Enactment of “Obamacare”: A Policy-Centered Analysis of Minority Party Involvement

Rigby

Clark

Pelika³

2014

Journal of Health Politics, Policy and Law

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The Patient Protection and Affordable Care Act of 2010 (ACA) passed with no Republican votes and was accompanied by intense criticism that the reform was "rammed through" the legislative process by the majority party. By contrast, many Democrats emphasized the extensive yearlong debate over health care reform and argued that the final bill represented a compromise of good ideas from both parties. We undertake a policy-centered analysis to help reconcile these conflicting reports of this legislative episode. Drawing on real-time accounts published in the Capitol Hill newspaper Roll Call, we compare the success of Democratic and Republican Parties' policy proposals in terms of centrality to the policy agenda and inclusion in the enacted legislation. Our findings indicate that Republican-backed proposals were more present on the policy agenda than in the final legislation--although both were dominated by Democratic policy proposals. In this case, the major limit on majority party power seemed to be intraparty conflict, rather than opposition from the minority party.

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“…12 As of January 1, 2014, approximately 5000 individuals had enrolled for health insurance through the West Virginia Health Insurance Marketplace. Over the course of the planning process, largely because of information technology and call center-related costs, the state decided to implement a partnership model in cooperation with the federal government.…”

Section: • Methodsmentioning

confidence: 99%

Strategies for Policy Evaluation of Health Insurance Marketplaces

Bias

Fitzgerald

Gurley-Calvez

2015

Journal of Public Health Management and Practice

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Millions of Americans have access to health insurance through new health insurance marketplaces. To serve the uninsured and underinsured populations, it is vital that key stakeholders put into place robust policy evaluation processes to capture data and provide timely feedback regarding exchange functions. This article lays a foundation for policy evaluation that includes health outcomes, economic outcomes, and consumer processes and perceptions. The evaluation methods outlined are easily adaptable to state, federal, and partnership marketplaces. The article provides a road map for insurance marketplace evaluation at any level and encourages a consistent approach that allows comparison across various marketplaces.

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Hybrid Federalism, Partisan Politics, and Early Implementation of State Health Insurance Exchanges

Cited by 65 publications

References 14 publications

Performance Goal Achievement in Fiscal Federalism: The Influence of State Partisan Environments and Regulatory Regimes

Performance Goal Achievement in Fiscal Federalism: The Influence of State Partisan Environments and Regulatory Regimes

Party Politics and Enactment of “Obamacare”: A Policy-Centered Analysis of Minority Party Involvement

Strategies for Policy Evaluation of Health Insurance Marketplaces

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