US health care costs are among the highest of all industrialized nations. In an effort to reduce costs and improve health outcomes, new delivery models – including accountable care organizations – have been developed. Yet, as revealed through interviews with key participants in Hennepin County's delivery project, significant challenges to implementing them exist. They include obstacles that inherently arise from implementing a means-tested health care policy within a competitive, federalized governing structure. Because these challenges are not unique to Hennepin County, this project can help similar projects and may push policy towards the integration of the health care and social service systems.
Roh, Kaitlin A., "Challenges to Policy Implementation: An Examination of an Integrated Health Care Delivery System Demonstration Project" (2012). Honors Projects. Paper 38.
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