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The Pains and Pleasures of Restructuring

Monday, June 27th, 2011 - 11:23
As John Thomasian, director of the NGA Center for Best Practices told us, “They’ve not just been streamlining government because it’s a luxury but because it was a necessity.” In fact, according to the NGA Center,  in 2009 and 2010, “At least 15 states conducted government wide efficiency reviews to identify areas of state government that can be made more efficient and less costly; at least 18 states have reorganized agencies.”

“Fit for Purpose?” Challenges for Irish Public Administration and Priorities for Public Service Reform.”

Wednesday, June 15th, 2011 - 16:38
Wednesday, June 15, 2011 - 16:32
Not too long ago Ireland was the miracle of the “Celtic Tiger” and briefly the second-richest country in the European Union.  Then came the economic crisis - leaving Ireland’s people in a wrenching recession and the Irish government carrying an intolerably large debt burden.

Blogs and Publications Produced by Don Kettl and Jack Meyer

Monday, May 23rd, 2011 - 12:53
Dean Kettl and Professor Meyer began writing for the IBM Center for The Business of Government in April 2010 on our blog, "Making Health Care Reform Work." The team, along with Stephen Majors, have written well over 200 posts on this blog and have recently produced short implementation

Medicaid Expansion Under Health Care Reform: Promising Approaches to Managing Care for People with Complex Medical Needs

Tuesday, April 12th, 2011 - 13:43
Author(s): 
The Implementation Brief series is based on two key premises:

Two Other States To Be Late in Setting Up High Risk Pools

Tuesday, June 29th, 2010 - 9:46
Tuesday, June 29, 2010 - 09:33
 USA Today reported this week that Michigan and California will be late in setting up their high-risk pools to cover those with pre-existing conditions. We had already written about how Illinois would be late in setting up the program, which was supposed to be in place across the country by July 1. 

A Rocky Start for The High-Risk Pool in Illinois?

Monday, June 21st, 2010 - 7:58
Monday, June 21, 2010 - 07:44
We have written previously on this blog about the importance of a smooth implementation of the new high-risk pool to cover those with pre-existing conditions. The temporary pool serves as a bridge to cover those who haven't been able to get covered until more substantive reforms go into effect in 2014. Expanding coverage in the near term is a big part of trying to sell health reform.

Medical Loss Ratios: Where Implementation is Key

Tuesday, June 15th, 2010 - 16:17
Tuesday, June 15, 2010 - 15:39
There are numerous cases in the health reform law where Congress decided to give regulators the leeway on the specifics of implementation to achieve the desired policy result. One of the most important examples of this is the impementation of so-called medical loss ratios. The success of the individual insurance market, in this case, will depend on how HHS Secretary Kathleen Sebelius decides to define the ratio requirement, which goes into effect on Jan. 1, 2011.

Putting Faces on The Tough Tasks of Health Reform

Friday, June 4th, 2010 - 8:13
Friday, June 4, 2010 - 07:45
Earlier this week, Jack Meyer wrote on this blog about how three new appointments to federal positions with significant responsibility over some of the most complex tasks in health refrom have significant experience with private insurance markets.

New Questions About The High-Risk Pool

Thursday, June 3rd, 2010 - 8:07
Thursday, June 3, 2010 - 07:35
In April, this blog raised questions about whether the $5 billion set aside in the health care reform bill for a high-risk pool would be sufficient to cover all of those who have been unable to get coverage for at least six months because of a pre-existing condition.

The Case of Young Adults: What's In the Health Reform Law for Them?

Wednesday, May 26th, 2010 - 7:54
Wednesday, May 26, 2010 - 07:51
A good story in Tuesday's New York Times dissects the new health reform law into what it means for young adults (ages 19-29), a group that makes up about a third of the nation’s uninsured population of 46 million.