Inside National Health Reform

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Overview

This indispensable guide to the Affordable Care Act, our new national health care law, lends an insider’s deep understanding of policy to a lively and absorbing account of the extraordinary—and extraordinarily ambitious—legislative effort to reform the nation’s health care system. Dr. John E. McDonough, DPH, a health policy expert who served as an advisor to the late Senator Edward Kennedy, provides a vivid picture of the intense effort required to bring this legislation into law. McDonough clearly explains the ACA’s inner workings, revealing the rich landscape of the issues, policies, and controversies embedded in the law yet unknown to most Americans.
In his account of these historic events, McDonough takes us through the process from the 2008 presidential campaign to the moment in 2010 when President Obama signed the bill into law. At a time when the nation is taking a second look at the ACA,
Inside National Health Reform
provides the essential information for Americans to make informed judgments about this landmark law.

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Editorial Reviews

Library Journal
By offering a concise description of the Affordable Care Act (ACA), McDonough (public health, Harvard; Experiencing Politics: A Legislator's Stories of Government and Health Care) provides an opportunity for readers interested in debating the merits of the law to do so with a solid understanding of its history and content. McDonough worked as a Massachusetts state legislator, in addition to directing Harvard's Center for Public Health Leadership during the creation of that state's health-care reform, and went on to serve as a Senate staffer during the drafting and passage of the ACA. He describes the origins and legislative struggles that led to the laws that were enacted and then devotes a chapter to each of the ten titles within the ACA. A concluding chapter attempts to look at the future of the law—its challenging implementation, fiscal consequences, and legal issues. VERDICT McDonough has done the hard work of breaking a large and historic piece of legislation down into a sober, balanced, thorough, readable, and important book. Recommended.—Dick Maxwell, Porter Adventist Hosp. Lib., Denver
From the Publisher
"Superb. . . . Likely to become required reading for anyone who wishes (or claims) to understand health care in the United States."—Health Affairs

"Read McDonough's book."—The Incidental Economist

"McDonough has done the hard work of breaking a large and historic piece of legislation down into a sober, balanced, thorough, readable, and important book. Recommended."—Library Journal

"Admirably clear . . . provides the best explanation available, which occupies most of his book, of the many individual components of the ten titles of the final act."—New York Review of Books

"Unique. . . . Offers a perspective available to few others. . . . Accessible, highly informative, and well worth [the reader's] time."—World Medical & Health Policy Jrnl

Health Affairs - Rick Mayes
“Superb. . . . Likely to become required reading for anyone who wishes (or claims) to understand health care in the United States.”
The Incidental Economist
“Read McDonough’s book.”
New York Review Of Books - Jeff Madrick
“Admirably clear . . . provides the best explanation available, which occupies most of his book, of the many individual components of the ten titles of the final act.”
World Medical & Health Policy Jrnl - Paul Van de Water
“Unique. . . . Offers a perspective available to few others. . . . Accessible, highly informative, and well worth [the reader’s] time.”
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Product Details

Meet the Author

John E. McDonough, DPH, MPA, is a professor at the Harvard School of Public Health and the first Joan H. Tisch Distinguished Fellow in Public Health at Hunter College of the City University of New York. He is the author of Experiencing Politics: A Legislator’s Stories of Government and Health Care (UC Press). Between 2008 and 2010, he served as Senior Advisor on National Health Reform to the U.S. Senate Committee on Health, Education, Labor, and Pensions and also played a major role in the 2006 Massachusetts health reform law.

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Table of Contents


List of Tables Foreword by Carmen Hooker Odom and Samuel L. Milbank (to come)
Preface Acknowledgments List of Abbreviations

Introduction -- A Meeting in Minnesota

Part I. Preludes and Process

1. The Knowledge Base--Why National Health Reform?
When Did U.S. Leaders Begin Pushing for Health Care Reform?
The Evolution of Universal Coverage as an Issue Cost and Quality Emerge as Health Care Concerns What Happened to Federal Reform after the 1993-94 Clinton Health Reform Failure?
The Congressional Budget Office Elusive Public Opinion

2. Social Strategy--Massachusetts Avenue Massachusetts Health Reform Explained California Tries and Stumbles Roads Not Taken

3. Political Will I--Prelude to a Health Reform Campaign Gathering Momentum The Presidential Campaign

4. Political Will II--A Health Reform Campaign The Senate Moves First The House Finds Its Footing The Obama Administration Moves In Agreements, Deals, and Lack Thereof Republicans--Current and Former Markup Mash-Ups On the Floors A Faux Conference and Ping-Pong Byrd Baths, End Games, and a Sidecar

Part II. Policies--Ten Titles

5. Title I--The Three-Legged Stool Title I: Quality, Affordable Health Care for All Americans Understanding Title I The Struggle over Health Insurance The Three-Legged Stool The Exchange Who Is Left Out?
Employer Responsibility Immigrants The Public-Plan Option Administrative Simplification

6. Title II-Medicaid, CHIP, and the Governors Title II--The Role of Public Programs Understanding Medicaid Understanding Title II The Numbers Game Medicaid's Future CHIP--the Favored Child

7. Title III--Medical Care, Medicare, and the Cost Curve Title III--Improving the Quality and Efficiency of Health Care Some Essential Background on Medicare Understanding Title III Following the Money The Future: Will the ACA Lower U.S. Health Care Costs?

8. Title IV--Money, Mammograms, and Menus Title IV--Prevention of Chronic Disease and Improving Public Health Understanding Title IV

9. Title V--Who Will Provide the Care?
Title V--Health Care Workforce Understanding Title V

10. Title VI--The Stew Title VI--Program Integrity and Transparency Understanding Title VI Fraud and Abuse The Physician Payments Sunshine Act Patient-Centered Outcomes Research Elder Justice and Nursing Home Transparency and Improvement Medical-Liability Reform

11. Title VII--Biosimilar Biological Products Title VII--Improving Access to Innovative Medical Therapies Understanding Title VII Biosimilar Basics Congress Decides

12. Title VIII--CLASS Act Title VIII--Community Living Assistance Services and Supports Understanding Title VIII CLASS Beginnings CLASS Questions CLASS Makes the Cut

13. Title IX--Paying for the ACA (or About Half of It)
Title IX--Revenue Provisions Understanding Title IX

14. Title X-Plus--The Manager's Amendment and the Reconciliation Act The Manager's Amendment The Reconciliation Sidecar Understanding Title X

Conclusion

Summary Judgments Minnesota Redux Conclusions: Looking Back Conclusions: Looking Ahead

Notes Health Reform Timeline Index Illustrations follow page

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Sort by: Showing 1 Customer Reviews
  • Anonymous

    Posted October 5, 2012

    very good, clearly written and provides the background to the design

    very good, clearly written and provides the background to the design.

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