Medicaid Expansion and the States: Implementation, Politics, and the Affordable Care Act by Phillip M. Singer A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy (Health Services Organization and Policy) in the University of Michigan 2018 Doctoral Committee: Professor Scott L. Greer, Co-Chair Assistant Professor Holly Jarman, Co-Chair Professor Nicholas Bagley Professor Barry Rabe Professor Charles C. Ragin Phillip M. Singer
[email protected] ORCID iD: 0000-0003-4067-0829 © Phillip M. Singer 2018 Dedication For Jennifer, Felix, and Edith for being my “still point of the turning world.” ii Acknowledgements I came to the University of Michigan in the Fall of 2011 after being accepted into the Masters in Health Services Administration program. Seven years later I not only have received my Masters but a PhD from the greatest University in the world. These past seven years have been humbling, enriching, and rewarding. I am incredibly grateful for all of the support that I have received from the faculty in Health Management and Policy. In particular, during my Masters training, I want to thank Dr.’s David Mendez, Richard Hirth, and Christy Lemak. Each of you supported and encouraged me to continue my education in the doctoral program. Without your guidance, support, and kindness I would not have even started on this journey. Any success that I have had during my time in the doctoral program has been a result of the people that I have collaborated with and learned from. Most prominently are my dissertation co-chairs Dr.’s Scott Greer and Holly Jarman.