Health Policymaking in the United States

by Longest, Beaufort B.

• ISBN13: 9781567932454
• ISBN10: 1567932452
• Edition: 4th
• Format: Hardcover
• Copyright: 2005-11-01
• Publisher: HEALTH ADMINISTRATION PRESS

Author Biography

Beaufort B. Longest, Jr., Ph.D., FACHE, is the M. Allen Pond Professor of Health Policy and Management and director of the Health Policy Institute at the University of Pittsburgh

Table of Contents

List of Acronyms and Initials	xii
List of Web Sites	xviii
Preface	xxi
Health and Health Policy	1	(32)
Health Defined	1	(5)
Health Policy Defined	6	(3)
Forms of Health Policies	9	(12)
Categories of Health Policies	21	(3)
The Connection Between Health Policy and Health	24	(1)
Health Policy in the States	25	(3)
The Role and Importance of Policy Competency in the Pursuit of Health	28	(1)
Summary	29	(1)
Discussion Questions	30	(3)
Impact of Health Policy	33	(42)
Health Policy and Health Determinants	35	(19)
Health Policy and Individuals, Organizations, and Interest Groups	54	(16)
Summary	70	(1)
Discussion Questions	71	(4)
Context and Process of Health Policymaking	75	(50)
The Context of Health Policymaking: The Political Marketplace	76	(5)
Demanders and Suppliers of Health Policies	81	(14)
Interplay Among Demanders and Suppliers in the Political Marketplace	95	(12)
A Conceptual Model of the Public Policymaking Process	107	(13)
Summary	120	(1)
Discussion Questions	121	(4)
Policy Competency	125	(36)
Organization Design to Support Policy Competency	128	(4)
Analyzing Public Policy Environments	132	(12)
Influencing Public Policy Environments	144	(8)
The Human Element in Analyzing and Influencing Public Policy Environments	152	(5)
Summary	157	(1)
Discussion Questions	158	(3)
Policy Formulation: Agenda Setting	161	(42)
Overview of the Policy Formulation Phase	161	(2)
Agenda Setting	163	(13)
Interest Group Involvement in Agenda Setting	176	(17)
The Influential Role of Chief Executives in Agenda Setting	193	(4)
The Nature of the Health Policy Agenda	197	(2)
Summary	199	(1)
Discussion Questions	199	(4)
Policy Formulation: Development of Legislation	203	(36)
The Choreography of Legislation Development	205	(1)
Originating and Drafting Legislative Proposals	206	(4)
Introducing and Referring Proposed Legislation to Committees	210	(9)
House or Senate Floor Action on Proposed Legislation	219	(1)
Conference Committee Actions on Proposed Legislation	220	(2)
Presidential Action on Proposed Legislation	222	(1)
Legislation Development for the Federal Budget	222	(8)
Legislation Development for the State Budgets	230	(5)
From Formulation to Implementation	235	(1)
Summary	236	(1)
Discussion Questions	236	(3)
Policy Implementation: Rulemaking	239	(30)
Responsibility for Policy Implementation	242	(9)
Rulemaking: The Beginning of Implementation	251	(15)
Summary	266	(1)
Discussion Questions	267	(2)
Policy Implementation: Operation	269	(34)
The Impact of a Policy's Design or Construction on Its Own Operation	269	(4)
The Impact of Implementing Organizations and Their Managers on Implementation	273	(28)
Summary	301	(1)
Discussion Questions	301	(2)
Policy Modification	303	(52)
Distinguishing Policy Modification from Policy Initiation	304	(2)
Policymaking Is a Cyclical Process	306	(2)
Incrementalism in Policymaking	308	(2)
The Mechanics of the Modification Phase	310	(7)
The Medicare Program: A Long History of Policy Modification in Practice	317	(12)
Key Structural Features of Policy Modification	329	(20)
Conclusion	349	(1)
Summary	350	(1)
Discussion Questions	350	(5)
Appendix A: Overview of Medicare	355	(12)
Appendix B: Overview of Medicaid	367	(12)
Appendix C: Briefly Annotated Chronological List of Selected U.S. Federal Laws Pertaining to Health	379	(40)
Index	419	(20)
About the Author	439