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Implementing and Administering Health Care Reform: Issues and Options for State Executives


An examination of the major decisions states face in designing health reforms, as well as their capacity to implement them. The analysis identified a core set of five functions that need to be addressed by states under either national or state initiated health care reforms: 1) getting started; 2) establishing and operating purchasing groups; 3) certifying and monitoring health plans; 4) integrating public programs; and 5) paying for implementation of reform, including capacity building.

  • Report: Implementing Health Care Reform: Issues and Options for State Executives