Publication Date

Summer 2003

Document Type

Article

Abstract

This article examines the Health Insurance Flexibility and Accountability (HIFA) waiver introduced in 2001, focusing on its potential as a tool for collaborative governance in expanding health insurance coverage. The HIFA waiver grants states greater programmatic flexibility and encourages public-private partnerships, aiming to address the complex challenges of uninsured populations. Although the waiver has been criticized for possibly reducing benefits and increasing cost-sharing, the paper argues for its use as a vehicle to foster stakeholder collaboration. It highlights the importance of integrating diverse perspectives to design politically and economically viable health reforms. Challenges such as stakeholder engagement, accountability, and resource constraints are discussed alongside strategies to overcome them. The article concludes that a collaborative governance model, emphasizing shared responsibility and adaptive solutions, could enhance the effectiveness of HIFA waiver initiatives in addressing health coverage gaps.

Publication Title

Annals of Health Law

Volume

12

Issue

1

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