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Implementing change: lessons for Medicaid reformers.

S S Bachman, D F Beatrice, S H Altman

Journal of Health Politics, Policy and Law

|January 1, 1987

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Implementing state Medicaid reforms requires adaptability, as models evolve. Key lessons emphasize continuity, incentives, simplified processes, and predicting implementation challenges for successful program changes.

Area of Science:

Health Policy
Public Administration
Healthcare Management

Background:

State Medicaid programs underwent significant reforms in the 1980s.
Arizona, California, and New York initiated major changes to their Medicaid programs during this period.

Purpose of the Study:

To explore critical issues in implementing changes within state Medicaid programs.
To derive lessons from historical Medicaid reforms for future policy development.

Main Methods:

Case studies of Medicaid reforms in Arizona, California, and New York.
Analysis of innovations and implementation processes within these state programs.

Main Results:

Six key lessons emerged regarding Medicaid reform implementation.

Related Experiment Videos

Reform models are expected to change and converge over time.

Predictability, continuity, incentives, and simplified administrative channels are crucial for successful reform.

Conclusions:

Implementation difficulties in Medicaid reform can be anticipated.
Lessons learned can guide decision-makers in addressing future challenges in state Medicaid programs.