Cover; Original Title; Title; Copyright; Dedication; Contents; List of Tables; Acknowledgements; 1 Rhode Island as Policy Laboratory; 2 Waiver Genesis; 3 The Politics of Approval; 4 A Primer on the Global Waiver; 5 External Factors and Implementation; 6 Internal Factors and Implementation; 7 Service Delivery and Implementation; 8 Waiver Achievements and Lessons; 9 Block Grants and Retrenchment; References; Index
Summary
Medicaid is the largest grant-in-aid program in the United States. Reform in this area, therefore, provides a unique opportunity to study the intersection between federal and state policy making in an area recently characterized by substantial uncertainty deriving from the lingering effects of the Great Recession, ongoing debate over the federal budget, and implementation of the Patient Protection and Affordable Care Act. Invariably states reform the way health care is delivered, regulated, and financed within broader parameters established by federal statutes and regulations. It is critica
