Building a Better Laboratory: The Federal Role in Promoting Health System Experimentation

53 Pages Posted: 22 May 2014

See all articles by Kristin M. Madison

Kristin M. Madison

Northeastern University - School of Law; Northeastern University - Bouvé College of Health Sciences

Date Written: 2014

Abstract

While expanding federal involvement in the health care system, the Patient Protection and Affordable Care Act (ACA) preserves states' roles as policy laboratories and private providers' roles as health care delivery laboratories. State-based and provider-based laboratories suffer from many shortcomings, however, as mechanisms to develop, evaluate, and facilitate diffusion of reforms within the health system. This Article argues that the federal government can take steps to address these shortcomings. It first briefly reviews ACA provisions that promote policy and delivery experimentation. It then suggests that by tying funding to policy outcomes, making use of regulatory variation and regulatory menus, and conditioning waivers on systematic evaluation, the federal government could further improve the performance of the nation as a laboratory.

Keywords: Patient Protection and Affordable Care Act

Suggested Citation

Madison, Kristin M., Building a Better Laboratory: The Federal Role in Promoting Health System Experimentation (2014). Pepperdine Law Review, Vol. 41, No. 4, pp. 765-816 (2014), Northeastern University School of Law Research Paper No. 187-2014, Available at SSRN: https://ssrn.com/abstract=2439746

Kristin M. Madison (Contact Author)

Northeastern University - School of Law; Northeastern University - Bouvé College of Health Sciences ( email )

416 Huntington Avenue
Boston, MA 02115
United States

Do you have a job opening that you would like to promote on SSRN?

Paper statistics

Downloads
48
Abstract Views
524
PlumX Metrics