Shifting Administrative Burden to the State: The Case of Medicaid Take-Up

Autor:	Pamela Herd, Hope Harvey, Donald P. Moynihan, Thomas DeLeire
Rok vydání:	2013
Předmět:	Marketing Actuarial science Public Administration Sociology and Political Science Public economics media_common.quotation_subject Process changes Payment State (polity) Policy implementation Patient Protection and Affordable Care Act Bureaucracy Business Medicaid media_common
Zdroj:	Public Administration Review. 73:S69-S81
ISSN:	0033-3352
DOI:	10.1111/puar.12114
Popis:	Administrative burden is an individual's experience of policy implementation as onerous. Such burdens may be created because of a desire to limit payments to ineligible claimants, but they also serve to limit take-up of benefits by eligible claimants. For citizens, this burden may occur through learning about a program; complying with rules and discretionary bureaucratic behavior to participate; and the psychological costs of participating in an unpopular program. Using a mixed-method approach, the authors explain process changes that reduced individual burden and demonstrate how this resulted in increased take-up in Medicaid in the state of Wisconsin. The findings inform the planned expansion of Medicaid under the Patient Protection and Affordable Care Act. A key design principle for Medicaid and other means-tested programs is that it is possible to increase program take-up while maintaining program integrity by shifting administrative burdens from the citizen to the state.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::3336e8922faf91fdf44b729e36c5f1ea https://doi.org/10.1111/puar.12114 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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