Table of Contents

List of Tables Foreword by Carmen Hooker Odom and Samuel L. Milbank (to come) Preface Acknowledgments List of Abbreviations Introduction -- A Meeting in Minnesota Part I. Preludes and Process 1. The Knowledge Base--Why National Health Reform? When Did U.S. Leaders Begin Pushing for Health Care Reform? The Evolution of Universal Coverage as an Issue Cost and Quality Emerge as Health Care Concerns What Happened to Federal Reform after the 1993-94 Clinton Health Reform Failure? The Congressional Budget Office Elusive Public Opinion 2. Social Strategy--Massachusetts Avenue Massachusetts Health Reform Explained California Tries and Stumbles Roads Not Taken 3. Political Will I--Prelude to a Health Reform Campaign Gathering Momentum The Presidential Campaign 4. Political Will II--A Health Reform Campaign The Senate Moves First The House Finds Its Footing The Obama Administration Moves In Agreements, Deals, and Lack Thereof Republicans--Current and Former Markup Mash-Ups On the Floors A Faux Conference and Ping-Pong Byrd Baths, End Games, and a Sidecar Part II. Policies--Ten Titles 5. Title I--The Three-Legged Stool Title I: Quality, Affordable Health Care for All Americans Understanding Title I The Struggle over Health Insurance The Three-Legged Stool The Exchange Who Is Left Out? Employer Responsibility Immigrants The Public-Plan Option Administrative Simplification 6. Title II-Medicaid, CHIP, and the Governors Title II--The Role of Public Programs Understanding Medicaid Understanding Title II The Numbers Game Medicaid's Future CHIP--the Favored Child 7. Title III--Medical Care, Medicare, and the Cost Curve Title III--Improving the Quality and Efficiency of Health Care Some Essential Background on Medicare Understanding Title III Following the Money The Future: Will the ACA Lower U.S. Health Care Costs? 8. Title IV--Money, Mammograms, and Menus Title IV--Prevention of Chronic Disease and Improving Public Health Understanding Title IV 9. Title V--Who Will Provide the Care? Title V--Health Care Workforce Understanding Title V 10. Title VI--The Stew Title VI--Program Integrity and Transparency Understanding Title VI Fraud and Abuse The Physician Payments Sunshine Act Patient-Centered Outcomes Research Elder Justice and Nursing Home Transparency and Improvement Medical-Liability Reform 11. Title VII--Biosimilar Biological Products Title VII--Improving Access to Innovative Medical Therapies Understanding Title VII Biosimilar Basics Congress Decides 12. Title VIII--CLASS Act Title VIII--Community Living Assistance Services and Supports Understanding Title VIII CLASS Beginnings CLASS Questions CLASS Makes the Cut 13. Title IX--Paying for the ACA (or About Half of It) Title IX--Revenue Provisions Understanding Title IX 14. Title X-Plus--The Manager's Amendment and the Reconciliation Act The Manager's Amendment The Reconciliation Sidecar Understanding Title X Conclusion Summary Judgments Minnesota Redux Conclusions: Looking Back Conclusions: Looking Ahead Notes Health Reform Timeline Index Illustrations follow page

About the Author

John E. McDonough, DPH, MPA, is a professor at the Harvard School of Public Health and the first Joan H. Tisch Distinguished Fellow in Public Health at Hunter College of the City University of New York. He is the author of Experiencing Politics: A Legislator's Stories of Government and Health Care (UC Press). Between 2008 and 2010, he served as Senior Advisor on National Health Reform to the U.S. Senate Committee on Health, Education, Labor, and Pensions and also played a major role in the 2006 Massachusetts health reform law.

Reviews

"Superb... Likely to become required reading for anyone who wishes (or claims) to understand health care in the United States." -- Rick Mayes Health Affairs "Read McDonough's book." The Incidental Economist "McDonough has done the hard work of breaking a large and historic piece of legislation down into a sober, balanced, thorough, readable, and important book. Recommended." -- Dick Maxwell Library Journal "Admirably clear ... provides the best explanation available, which occupies most of his book, of the many individual components of the ten titles of the final act." -- Jeff Madrick New York Review Of Books "Unique... Offers a perspective available to few others... Accessible, highly informative, and well worth [the reader's] time." -- Paul Van de Water, Center on Budget and Policy Priorities World Medical & Health Policy Jrnl