title: HCFA and the states: politics and intergovernmental leverage.
abstract: In this article, we seek to explain variations in the Health Care Financing Administration's (HCFA) relationship to state governments. After reviewing several alternative models of the policy-making process, we argue that the utility of each model depends on certain issue characteristics, especially salience and conflict. We further argue that HCFA's choice of intergovernmental tools, rooted in a political setting, depends on the same issue characteristics. We illustrate our arguments by examining HCFA's behavior during the Clinton administration and by focusing on four cases: HMO performance measurement, nursing home regulation, lead screening for children, and the Children's Health Insurance Program (CHIP).
authors: Georgetown University, USA.
authors: W T
authors: WT
authors: Gormley
authors: C
authors: C
authors: Boccuti
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S. / Q000458:organization & administration*; D002648:Child; D002651:Child Advocacy / Q000331:legislation & jurisprudence; D003659:Decision Making, Organizational; D006279:Health Maintenance Organizations / Q000331:legislation & jurisprudence / Q000592:standards; D006801:Humans; D007373:Interinstitutional Relations; D007855:Lead Poisoning / Q000517:prevention & control; D008484:Medicaid / Q000331:legislation & jurisprudence; D008483:Medical Assistance / Q000331:legislation & jurisprudence; D017146:Models, Organizational; D009735:Nursing Homes / Q000331:legislation & jurisprudence / Q000592:standards; D019982:Organizational Case Studies; D011050:Policy Making; D011057:Politics; D013219:State Government; D014481:United States