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Policy Innovation and Health Insurance Reform in the American States

Title: Policy Innovation and Health Insurance Reform in the American States: An Event History Analysis of State Medical Savings Account Adoptions (1993-1996).
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Name(s): Bowen, William R., Jr., author
Berry, William D., professor directing dissertation
Guy, Mary E., outside committee member
Barrilleaux, Charles J., committee member
Ringquist, Evan J., committee member
Department of Political Science, degree granting department
Florida State University, degree granting institution
Type of Resource: text
Genre: Text
Issuance: monographic
Date Issued: 2005
Publisher: Florida State University
Place of Publication: Tallahassee, Florida
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: This dissertation provides an analysis and evaluation of state medical savings account (MSA) adoptions between 1993-1996, using an Event History Analysis. The primary research question is why do states adopt the policies they do? I use the theoretical framework provided by Berry and Berry (1999) which unifies the diffusion and internal determinants approaches to the analysis of state policy adoption. This theoretical framework posits that state policy adoption is a function of the motivation to innovate, obstacles, resources, external influences, and other policies. A hypothesis-generating case study was also conducted with the object of inquiry being the state adoption of the MSA in Mississippi in 1994. The statistical analysis was conducted using probit. The analysis found strong support for the influence of state parties and the activities of a policy entrepreneur on policy adoption. There was support, albeit weaker, for the role of state uninsurance and the influence brought about by neighboring states.
Identifier: FSU_migr_etd-3456 (IID)
Submitted Note: A Dissertation submitted to the Department of Political Science in partial fulfillment of the requirements for the degree of Doctor of Philosophy.
Degree Awarded: Spring Semester, 2005.
Date of Defense: March 17, 2005.
Keywords: MSA, State Policy Analysis, Medical Savings Accounts, State Policy Innovation, Event History Analysis, State Policy Diffusion, State Policy Adoption, State Health Insurance Reform
Bibliography Note: Includes bibliographical references.
Advisory Committee: William D. Berry, Professor Directing Dissertation; Mary E. Guy, Outside Committee Member; Charles J. Barrilleaux, Committee Member; Evan J. Ringquist, Committee Member.
Subject(s): Political science
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_migr_etd-3456
Owner Institution: FSU

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Bowen, W. R. (2005). Policy Innovation and Health Insurance Reform in the American States: An Event History Analysis of State Medical Savings Account Adoptions (1993-1996). Retrieved from http://purl.flvc.org/fsu/fd/FSU_migr_etd-3456