Medicaid managed care for children with special health care needs: Examining legislative and judicial constraints on privatization

• 成果类型: Article
• 署名作者: Reed, CM; Meyer, KP
• 署名单位: University of Nebraska System; University of Nebraska System; University of Nebraska Medical Center
• 刊物名称: PUBLIC ADMINISTRATION REVIEW
• ISSN/ISSBN: 0033-3352
• DOI: 10.1111/j.1540-6210.2004.00364.x
• 发表日期: 2004
• 页码: 234-242
• 关键词: Public management; state

摘要

Over the past decade, much has been written about the results of reinventing government. Most research has examined the effects of executive or managerial perspectives. Using David Rosenbloom's competing perspectives model, we examine Medicaid managed care programs for children with special health care needs to illustrate the influence of legislative and judicial institutional perspectives on the reinvention movement. Legislative and judicial responses to the reinvention of Medicaid managed care reveal the outer limits of what managed care and related executive reforms can accomplish in a Constitutional system that is based on checks and balances among competing institutional perspectives. Furthermore, relative to Medicaid managed care, legislative and judicial responses conserve public responsibility to societys most vulnerable populations. In the long run, the balance of institutional perspectives and values-not managerial innovation per se-will influence public administration.