Intergovernmental Negotiation in Medicaid: Arkansas and the Premium Assistance Waiver

Carol S. Weissert, Benjamin Pollack and Richard P. Nathan

Publius: The Journal of Federalism, 2017, vol. 47, issue 3, 445-466

Abstract: Negotiations between federal and state officials are a mainstay of intergovernmental relations, but the politics of negotiation have been largely understudied. In this article, we provide a window on those politics by examining the development of the Arkansas premium assistance waiver—an early and influential Medicaid waiver. We examine the leverage of both the federal and state governments in their efforts to reach agreement on a plan that suited both sets of actors. The federal government was providing funding important to the state, but the state had the capacity necessary to put a program in place. The federal government wanted some type of expansion in a Southern state; Arkansas wanted to do it “their way.” Also key to the Arkansas case is the persistence and shared vision of the federal and state actors who in the end trusted each other and produced a policy both were proud of.

Date: 2017
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
http://hdl.handle.net/10.1093/publius/pjx034 (application/pdf)
Access to full text is restricted to subscribers.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:oup:publus:v:47:y:2017:i:3:p:445-466.

Ordering information: This journal article can be ordered from
https://academic.oup.com/journals

Access Statistics for this article

Publius: The Journal of Federalism is currently edited by Paul Nolette and Philip Rocco

More articles in Publius: The Journal of Federalism from CSF Associates Inc. Oxford University Press, Great Clarendon Street, Oxford OX2 6DP, UK.
Bibliographic data for series maintained by Oxford University Press ().