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Indiana University journal examines critical health-care law issues

September 16, 2013
Bloomington, Indiana --

With a key step in the implementation of the Affordable Care Act looming, a journal based at Indiana University is laying out the latest thinking on critical elements of the law known as Obamacare.

PAR Cover PageOn October 1, open enrollment is slated to begin for the new, state-based health insurance exchanges, one of the cornerstones of Obamacare. In its latest edition, Public Administration Review (PAR) has assembled analysis from prominent scholars, government officials, and opinion leaders. PAR is headquartered at the Indiana University Bloomington School of Public and Environmental Affairs (SPEA) and is considered the leading journal of its type in the world.

These are some of the major articles in this special issue of PAR:

  • Secretary of Health and Human Services Kathleen Sebelius makes the case for public administrators to rise to the challenge of implementing the Affordable Care Act (ACA).
  • Alice Rivlin, a former director of the Office of Management and Budget in the Clinton administration, offers a perspective on the future of health reform in the U.S.
  • Nationally renowned health policy scholar Frank J. Thompson details the challenges buffeting health reform in the face of a polarized Congress and a national divide over Obamacare. In the short term, he predicts more work for government agencies because a warring Congress is unable to devise policy solutions. In the long run, he predicts: “Broad support for the ACA may grow as Americans begin to receive more tangible benefits from the law with the insurance expansions slated for 2014. This reinforcing policy feedback may well heighten the political costs of calling for the ACA’s repeal. Instead, opponents may come to emphasize its revision or partial replacement.”
  • Polarization is also an important element in an analysis by scholars Simon Haeder and David Weimer. They examine the varying ways states are implementing insurance exchanges.
  • Charles Brecher and Shanna Rose explain how Medicaid will be affected by the ACA and how the program has expanded dramatically since its launch in the 1960s.
  • SPEA Professor Emeritus Robert Agranoff looks at the impact of the ACA on programming for people with developmental disabilities.

“Taken together, we believe the articles in the special issue offer an interesting and meaningful analysis of the wide range of issues raised by the upcoming implementation of the ACA,” said PAR Editor-in-Chief James Perry, a SPEA professor emeritus. “Anyone concerned about the future of Obamacare, whether they’re government or health industry officials, journalists, researchers or students, will find new and valuable information.”

About the Public Administration Review

Published for more than 70 years, the bi-monthly Public Administration Review has long been the leading journal in the field of public administration. It is published for the American Society for Public Administration by Wiley-Blackwell Publishing and is the only journal in public administration that serves both academics and practitioners interested in the public sector and public sector management. Articles can be found at: