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Nonincremental Policy Change: Lessons from Michigan's Medicaid Managed Care Initiative
Author(s) -
Weissert Carol S.,
Goggin Malcolm L.
Publication year - 2002
Publication title -
public administration review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.721
H-Index - 139
eISSN - 1540-6210
pISSN - 0033-3352
DOI - 10.1111/0033-3352.00171
Subject(s) - medicaid , stakeholder , medicaid managed care , public administration , politics , business , organizational change , public policy , stakeholder engagement , public relations , political science , economic growth , economics , health care , law
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 implementation—namely, stakeholder dissatisfaction, mistakes, and lack of public involvement.