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/lp/de-gruyter/seats-at-the-table-actors-and-decision-variables-in-implementing-the-ukPpbdnMo3
- Publisher
- de Gruyter
- Copyright
- Copyright © 2014 by the
- ISSN
- 2194-6132
- eISSN
- 1944-4370
- DOI
- 10.1515/cjpp-2013-0014
- Publisher site
- See Article on Publisher Site
Abstract
Abstract The passage of the Patient Protection and Affordable Care Act (ACA) forced the California Major Risk Medical Insurance Board to make a decision on modifying their existing high-risk pool program or establishing a new one to meet the requirements of the federal law. The Board’s deliberation minutes provide the data for this study to explore decision making from the combined theories of garbage cans and and joint fact-finding. The Board was confronted with a choice opportunity containing a number of problems, potential solutions, and actors. Their deliberation approach was a collaborative process guided by technical analysts. The paper uses this scenario to investigate associations between decision actors and decision themes derived from the literature, with the aid of correlation and correspondence analyses. Significant associations involving analysts, board members and interest group representatives are found. Implications for decision-making and further studies are described at the conclusion.
Journal
California Journal of Politics and Policy – de Gruyter
Published: Oct 1, 2014