Reforming Medicaid through Contracting: The Nexus of Implementation and Organizational Culture

Romzek, Barbara S.; Johnston, Jocelyn M.
January 1999
Journal of Public Administration Research & Theory;Jan99, Vol. 9 Issue 1, p107
Academic Journal
Investigates administrative experience resulting from the intersection of two popular public management trends, social service reform and contracting out. State of Kansas contracting with nonprofit agencies to provide Medicaid case management services; Changes caused by implementation of reforms; How the nonprofit agencies encounter higher levels of interagency political conflict; The lack of policy subgroup cohesiveness.


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