{"id":"https://openalex.org/W2910651279","doi":"https://doi.org/10.1111/padm.12585","title":"From \u2018trial and error\u2019 to major reform: The politics of Medicare demonstration projects","display_name":"From \u2018trial and error\u2019 to major reform: The politics of Medicare demonstration projects","publication_year":2019,"publication_date":"2019-01-11","ids":{"openalex":"https://openalex.org/W2910651279","doi":"https://doi.org/10.1111/padm.12585","mag":"2910651279"},"language":"en","primary_location":{"id":"doi:10.1111/padm.12585","doi":"https://doi.org/10.1111/padm.12585","is_oa":false,"landing_page_url":"https://doi.org/10.1111/padm.12585","pdf_url":null,"source":{"id":"https://openalex.org/S201221823","display_name":"Public Administration","issn_l":"0033-3298","issn":["0033-3298","1467-9299"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","erih-plus","fnege-2","jufo-3","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Public Administration","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5066403647","display_name":"Andrew S. Kelly","orcid":"https://orcid.org/0000-0002-6834-1050","observed_orcids":["https://orcid.org/0000-0002-6834-1050"]},"institutions":[{"id":"https://openalex.org/I127339247","display_name":"California State University System","ror":"https://ror.org/020qm1538","country_code":"US","type":"education","lineage":["https://openalex.org/I127339247"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew S. Kelly","raw_affiliation_strings":["Department of Health Sciences, California State University, California, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Sciences, California State University, California, USA","institution_ids":["https://openalex.org/I127339247"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5047686379","display_name":"Philip Rocco","orcid":"https://orcid.org/0000-0001-5971-7039","observed_orcids":["https://orcid.org/0000-0001-5971-7039"]},"institutions":[{"id":"https://openalex.org/I102461120","display_name":"Marquette University","ror":"https://ror.org/04gr4te78","country_code":"US","type":"education","lineage":["https://openalex.org/I102461120"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Philip Rocco","raw_affiliation_strings":["Department of Political Science, Marquette University, Milwaukee, Wisconsin, USA"],"raw_orcid":"https://orcid.org/0000-0001-5971-7039","affiliations":[{"raw_affiliation_string":"Department of Political Science, Marquette University, Milwaukee, Wisconsin, USA","institution_ids":["https://openalex.org/I102461120"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5047686379"],"corresponding_institution_ids":["https://openalex.org/I102461120"],"apc_list":{"value":3200,"currency":"USD","value_usd":3200},"apc_paid":null,"fwci":2.1792,"has_fulltext":false,"cited_by_count":7,"citation_normalized_percentile":{"value":0.87897261,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"97","issue":"3","first_page":"621","last_page":"638"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10213","display_name":"Public Policy and Administration Research","score":0.7383000254631042,"subfield":{"id":"https://openalex.org/subfields/3321","display_name":"Public Administration"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10213","display_name":"Public Policy and Administration Research","score":0.7383000254631042,"subfield":{"id":"https://openalex.org/subfields/3321","display_name":"Public Administration"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10443","display_name":"Social Policy and Reform Studies","score":0.1046999990940094,"subfield":{"id":"https://openalex.org/subfields/3320","display_name":"Political Science and International Relations"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12210","display_name":"Policy Transfer and Learning","score":0.09130000323057175,"subfield":{"id":"https://openalex.org/subfields/3320","display_name":"Political Science and International Relations"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/policy-change","display_name":"policy change","score":0.5770000219345093},{"id":"https://openalex.org/keywords/policy-innovation","display_name":"policy innovation","score":0.42399999499320984},{"id":"https://openalex.org/keywords/administrative-agencies","display_name":"administrative agencies","score":0.5609999895095825},{"id":"https://openalex.org/keywords/scale-up","display_name":"scale-up","score":0.4650000035762787},{"id":"https://openalex.org/keywords/veto-points","display_name":"veto points","score":0.9380000233650208},{"id":"https://openalex.org/keywords/partisan-polarization","display_name":"partisan polarization","score":0.8080000281333923},{"id":"https://openalex.org/keywords/health-policy-reform","display_name":"health policy reform","score":0.515999972820282}],"concepts":[{"id":"https://openalex.org/C2776331573","wikidata":"https://www.wikidata.org/wiki/Q178074","display_name":"Veto","level":3,"score":0.7876076698303223},{"id":"https://openalex.org/C2778012447","wikidata":"https://www.wikidata.org/wiki/Q1034415","display_name":"Scope (computer science)","level":2,"score":0.7121895551681519},{"id":"https://openalex.org/C83009810","wikidata":"https://www.wikidata.org/wiki/Q11204","display_name":"Legislature","level":2,"score":0.6549595594406128},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.6278302073478699},{"id":"https://openalex.org/C94625758","wikidata":"https://www.wikidata.org/wiki/Q7163","display_name":"Politics","level":2,"score":0.6093096137046814},{"id":"https://openalex.org/C68595000","wikidata":"https://www.wikidata.org/wiki/Q2274177","display_name":"Service delivery framework","level":3,"score":0.47741568088531494},{"id":"https://openalex.org/C205049153","wikidata":"https://www.wikidata.org/wiki/Q2698605","display_name":"Polarization (electrochemistry)","level":2,"score":0.431438684463501},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.42351460456848145},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.41227132081985474},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.4076613187789917},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.3631110191345215},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.32933613657951355},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.19607287645339966},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.12576067447662354},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C147789679","wikidata":"https://www.wikidata.org/wiki/Q11372","display_name":"Physical chemistry","level":1,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C136264566","wikidata":"https://www.wikidata.org/wiki/Q159810","display_name":"Economy","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1111/padm.12585","doi":"https://doi.org/10.1111/padm.12585","is_oa":false,"landing_page_url":"https://doi.org/10.1111/padm.12585","pdf_url":null,"source":{"id":"https://openalex.org/S201221823","display_name":"Public Administration","issn_l":"0033-3298","issn":["0033-3298","1467-9299"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","erih-plus","fnege-2","jufo-3","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Public Administration","raw_type":"journal-article"},{"id":"pmh:oai:epublications.marquette.edu:polisci_fac-1074","doi":null,"is_oa":false,"landing_page_url":"https://epublications.marquette.edu/polisci_fac/73","pdf_url":null,"source":{"id":"https://openalex.org/S4306401682","display_name":"e-Publications@Marquette (Marquette University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I102461120","host_organization_name":"Marquette University","host_organization_lineage":["https://openalex.org/I102461120"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Political Science Faculty Research and Publications","raw_type":"text"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Peace, justice, and strong institutions","score":0.6601999998092651,"id":"https://metadata.un.org/sdg/16"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":63,"referenced_works":["https://openalex.org/W395849916","https://openalex.org/W619495595","https://openalex.org/W1502798522","https://openalex.org/W1521726460","https://openalex.org/W1597486924","https://openalex.org/W1712757310","https://openalex.org/W1730782591","https://openalex.org/W1764908816","https://openalex.org/W1807633285","https://openalex.org/W1832462761","https://openalex.org/W1914904200","https://openalex.org/W1969941281","https://openalex.org/W1972270163","https://openalex.org/W1982469483","https://openalex.org/W1996684020","https://openalex.org/W2001023688","https://openalex.org/W2003226464","https://openalex.org/W2004726442","https://openalex.org/W2029332309","https://openalex.org/W2033910461","https://openalex.org/W2057483056","https://openalex.org/W2057977024","https://openalex.org/W2089285549","https://openalex.org/W2090264066","https://openalex.org/W2098798755","https://openalex.org/W2099872614","https://openalex.org/W2107750697","https://openalex.org/W2115591955","https://openalex.org/W2119176195","https://openalex.org/W2122528230","https://openalex.org/W2125398298","https://openalex.org/W2125952025","https://openalex.org/W2140503185","https://openalex.org/W2158822657","https://openalex.org/W2170166447","https://openalex.org/W2171045135","https://openalex.org/W2189153537","https://openalex.org/W2196047109","https://openalex.org/W2204466532","https://openalex.org/W2233328233","https://openalex.org/W2251537563","https://openalex.org/W2255492166","https://openalex.org/W2317382570","https://openalex.org/W2345795500","https://openalex.org/W2410666230","https://openalex.org/W2553540021","https://openalex.org/W2566243583","https://openalex.org/W2620690473","https://openalex.org/W2716741859","https://openalex.org/W2754080204","https://openalex.org/W2755374134","https://openalex.org/W2802017665","https://openalex.org/W2912511977","https://openalex.org/W2994231305","https://openalex.org/W3005768475","https://openalex.org/W3016700523","https://openalex.org/W3036674917","https://openalex.org/W4205645625","https://openalex.org/W4237817291","https://openalex.org/W4240233954","https://openalex.org/W4243459145","https://openalex.org/W4298152327","https://openalex.org/W4298996947"],"related_works":["https://openalex.org/W2936779937","https://openalex.org/W2290434990","https://openalex.org/W2228211368","https://openalex.org/W2056701752","https://openalex.org/W4291942907","https://openalex.org/W2319869622","https://openalex.org/W2405857865","https://openalex.org/W2135933784","https://openalex.org/W2027721225","https://openalex.org/W49084640"],"abstract_inverted_index":{"Facing":[0],"fragmented":[1],"institutions":[2,91],"and":[3,55,127,138],"partisan":[4],"polarization,":[5],"officials":[6],"in":[7,95,132],"the":[8,52,63,98,141],"United":[9],"States":[10],"often":[11],"attempt":[12],"to":[13,38,42,100],"engineer":[14],"policy":[15,31,75,114],"change":[16,115],"without":[17],"assembling":[18],"new":[19],"legislative":[20],"majorities.":[21],"To":[22],"this":[23,78],"end,":[24],"they":[25,69],"have":[26,97],"increasingly":[27],"employed":[28],"demonstration":[29,67,82],"projects,":[30,68],"innovations":[32],"undertaken":[33,131],"by":[34],"administrative":[35,126],"agencies":[36],"designed":[37],"test":[39],"alternative":[40],"approaches":[41],"implementation":[43],"or":[44],"service":[45],"delivery":[46],"on":[47],"a":[48,57,87],"limited":[49,58],"segment":[50],"of":[51,60,66,74,86,89,144],"target":[53],"population":[54],"for":[56],"period":[59],"time.":[61],"Despite":[62],"increasing":[64],"importance":[65],"are":[70,130],"an":[71],"undertheorized":[72],"source":[73],"change.":[76],"In":[77],"article,":[79],"we":[80],"conceptualize":[81],"projects":[83],"as":[84],"part":[85],"class":[88],"experimental":[90],"that,":[92],"while":[93],"incremental":[94],"scope,":[96],"potential":[99],"\u2018scale":[101],"up\u2019":[102],"into":[103],"more":[104,117],"substantial":[105],"reforms.":[106],"Data":[107],"from":[108],"three":[109],"Medicare":[110],"demonstrations":[111],"suggest":[112],"that":[113],"is":[116],"likely":[118],"when":[119],"programmes":[120],"generate":[121],"strong":[122],"support":[123],"constituencies;":[124],"minimize":[125],"infrastructural":[128],"costs;":[129],"contexts":[133],"with":[134,140],"few":[135],"veto":[136],"points;":[137],"align":[139],"time":[142],"horizons":[143],"elected":[145],"officials.":[146]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1}],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2019-01-25T00:00:00"}
