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September 2003 (Volume 81)
Quarterly Article
Debbie I. Chang
Alice Burton
John O'Brien
Robert E. Hurley
December 2024
Dec 19, 2024
Back to The Milbank Quarterly
State policymakers have been at the center of many important health care reform initiatives in the past decade. Launching large-scale, innovative programs presents many challenges for state agencies in design, implementation, and management. Conducting credible evaluations of these initiatives also is a crucial activity that may be overlooked or neglected because of resource constraints or competing demands on key staff. The experience gained in Maryland’s HealthChoice evaluation reveals how a strong commitment to an open and participatory process combined with a rigorous focus on the need for quantitative and qualitative data contributed to both a better understanding of the program’s effects and greater support for its future development.
Author(s): Debbie I. Chang; Alice Burton; John O’Brien; Robert E. Hurley
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Volume 81, Issue 3 (pages 389–414) DOI: 10.1111/1468-0009.t01-1-00061 Published in 2003
