Factors Influencing the Implementation of Health Care Reform: An Examination of the Concurrent Care for Children Provision. (August 2014)

• Record Type: Journal Article
• Authors: Lindley, Lisa C.; Edwards, Sheri; Bruce, Donald J.
• Is Part Of: American journal of hospice & palliative care. Volume 31:Number 5(2014)
• Page Start: 527
• Page End: 533
• Publication Date: 2014-08
• Subjects: concurrent care for children -- hospice care -- health care reform -- children -- end of life -- ACA 2302; Hospice care -- Periodicals; Palliative treatment -- Periodicals; 362.175
• DOI: 10.1177/1049909113494460
• Languages: English
• ISSNs: 1049-9091

Abstract

In the wake of the 2013 Presidential reelection, states now face the reality of implementing the healthcare reform, including ACA section 2302 (Concurrent Care for Children). The purpose of our study was to examine the influence of economic, political, and legal factors on state implementation of ACA 2302. Using data from 2010 to 2012, our analysis revealed that for early implementers economic, political or legal factors did not influence implementation of ACA 2302. In 2011, states that were engaged in Medicaid cost containment efforts were more likely to implement ACA 2302 and in 2012, states experiencing a budgetary crisis were less likely to implement ACA 2302. Our findings suggest that state-level implementation of ACA 2302 may be an important bellwether for future healthcare reform implementations.