Andrew Kelly
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About Andrew
Kelly's research is at the intersection of American political development and US public policy, with a focus on health care, public health, and science policy. Kelly's research examines public-private partnerships and how the reliance on private actors in the provision of public insurance has grown and shapes the trajectory of reform. His work also looks at the sources of public health capacity and policy variation in local governments. Kelly is the past chair of the Health Politics and Policy Section of the American Political Science Association and currently serves on the editorial board and as the book review editor for the Journal of Health Politics, Policy and Law.
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Publications
Examines the policy implications of the expanding role of Managed Care Organizations (MCOs) within Medicare and Medicaid, and argues that the increased influence of MCOs grants them structural power in which firms are able to constrain health policy reform through their threats to disrupt the delivery of public policies and social benefits to millions of people across the United States.
Presents evidence regarding how the Affordable Care Act (ACA) has removed barriers to implement demonstration projects successfully, but highlights the numerous challenges that must be addressed to effectively scale those reforms. Offers suggestions for future efforts at delivery-system and payment reform, as well as understandings of policy learning and innovation.
Reveals several key mechanisms under the Affordable Care Act (ACA) that have affected Medicaid expansion over the past decade, and discusses how its partisan nature has made it difficult for interest-group coalitions and progressive administrators to play a leading role in policy change.
Shows the potential that demonstration projects have to lead to more substantial reforms, utilizing evidence from three Medicare demonstrations. Suggests that policy change is more likely when programmes generate strong support constituencies, are affordable to operate; are undertaken in contexts with fewer barriers, and align with the timelines of elected officials.
Demonstrates the Affordable Care Act’s (ACA) State Innovation Models (SIM) initiative, which incentivizes states to experiment with new models of payment and delivery that can improve health outcomes and/or reduce health-care costs, proving that that states’ participation in SIM is shaped by partisanship, administrative capacity, and state policy legacies.
Demonstrates how long-running policy processes have altered the political landscape in often underappreciated ways to narrow the prospects for large-scale policy reform, and the political dynamics of Medicare and the Affordable Care Act in the early days of the Trump administration.
Explores how all-payer claims databases (APCDs) evolved into the leading model for reforming health care prices, and demonstrates how they reconfigured existing ideas to overcome structural barriers to health reform.
Illustrates the various policy elements that led to the increase in private medicare plans through the Medicare Advantage (MA) program, and how the interests of the government's private partners have changed in response to new market dynamics.