What Does the State Innovation Model Experiment Tell Us About States' Capacity to Implement Complex Health Reforms?

ABSTRACT: Policy Points To make progress implementing payment and delivery system reforms, state governments need to make genuine stakeholder engagement routine business, develop reforms that build on past successes, and ensure health reform is a top priority for bureaucrats and political leaders. To support state-led reform initiatives, the federal government needs to provide financial support directly to state governments; build bureaucratic capability in supporting state officials with policy design and implementation; develop more flexible, outcome-focused funding programs; reform its own programs, particularly Medicare; and commit to a long-term strategy for progressing payment and delivery system reforms.

Context

For decades, Americans have debated whether the states need federal govern

SUBMITTER: Boxall AM 

PROVIDER: S-EPMC9205669 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature