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Nonincremental policy change : lessons from Michingan's medicaid managed care initiative

By: WEISSERT, Carol S.
Contributor(s): Goggin, Malcolm L.
Material type: materialTypeLabelArticlePublisher: Malden, MA : Blackwell Publishers, mar./apr.2002Public Administration Review: PAR 62, 2, p. 206-216Abstract: Studies of policy implementation have focused primarily on incremental policy change, yet policy change is sometimes implemented quickly and comprehensively. Such is the case with Michigan's recent implementation of a statewide Medicaid managed care initiative. This article analyzes Michigan's quick implementation and highlights the importance of political support, organizational change, and a supportive policy and administrative environment in affecting successful implementation. It also notes the price paid for quick implementatin - namely, stakeholder dissatisfaction, and lack of public involvement
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Periódico Biblioteca Graciliano Ramos
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Studies of policy implementation have focused primarily on incremental policy change, yet policy change is sometimes implemented quickly and comprehensively. Such is the case with Michigan's recent implementation of a statewide Medicaid managed care initiative. This article analyzes Michigan's quick implementation and highlights the importance of political support, organizational change, and a supportive policy and administrative environment in affecting successful implementation. It also notes the price paid for quick implementatin - namely, stakeholder dissatisfaction, and lack of public involvement

Public Administration Review PAR

March/April 2002 Volume 62 Number 2

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