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Social and Behavioral Sciences Commons™
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Full-Text Articles in Social and Behavioral Sciences
Barber Shops, Salons, And Spas: The Complexity – And Simplicity – Of Implementing Outreach And Enrollment Contracts Under The Affordable Care Act, Michael Hatch, Rebecca Yurman, Anna A. Amirkhanyan, Jocelyn Johnston
Barber Shops, Salons, And Spas: The Complexity – And Simplicity – Of Implementing Outreach And Enrollment Contracts Under The Affordable Care Act, Michael Hatch, Rebecca Yurman, Anna A. Amirkhanyan, Jocelyn Johnston
Journal of Public Management & Social Policy
This article examines the implementation of The Patient Protection and Affordable Care Act (ACA) with a particular focus on the states’ contracted outreach and enrollment services. Having collected administrative and perceptual data from key informants, we examined outreach and enrollment contracts in six states that have reduced the uninsured rate by at least 20% of ACA-eligible population. Our findings suggest that the complexity of the law and its structure, as well as the characteristics of contracting were, in effect, “drowned out” by clear patterns of highly collaborative implementation that involved extensive chains of diverse outreach/enrollment actors. These networks – ranging …
Reexamining The Impact Of Medicaid Expansion In A Post-Affordable Care Act Environment From A Critical Race Perspective, Ty Price Dooley
Reexamining The Impact Of Medicaid Expansion In A Post-Affordable Care Act Environment From A Critical Race Perspective, Ty Price Dooley
Journal of Public Management & Social Policy
The passage of the Patient Protection and Affordable Care Act (ACA) in 2010 drastically transformed the health care system in the United States. This paper examines the factors influencing state decisions relative to Medicaid expansion in a post-ACA environment through the lens of Critical Race Theory. This study incorporates economic, geographic and health variables into a model of post-ACA-Medicaid decision-making by using logistic regression to examine State Medicaid expansion from 2010 to 2014. The size of the minority population in state, tobacco use and southern distinctiveness are significant predictors of decision making relative to Medicaid expansion. Findings support that racialized …