Health Policymaking in the United States, Eighth Edition

Allyson G. Hall, Geoffrey Silvera

• Publisher: ACHE Learn
• Year: 2026
• eBook ISBN:
  9781640556683
• Topic: Medicine
• Subtopic: Pharmaceutical, Biotechnology & Healthcare Industry

Instructor Resources: transition guide, slide decks, test banks, and answer guides for the in-book discussion questions.

Learn the Process Behind the Policy

Health Policymaking in the US offers a clear, comprehensive guide to how health policy is made, implemented and assessed across both federal and state systems. It goes beyond discussing a set of legislative milestones—it offers an in-depth look at the evolving process that shapes the delivery, financing and regulation of care.

Developed for students, the book emphasizes how real-world professionals and institutions influence policymaking decisions through a structured, step-by-step framework that includes: problem identification, agenda setting, policy formulation, implementation and modification.

This updated eighth edition introduces a dedicated chapter on policy analysis and emerging trends, expanding the book's reach beyond foundational knowledge to practical application. Readers gain tools to analyze proposed policies, evaluate political and economic implications and actively engage in advocacy and planning.

Other new and revised content included:

• Updates to Medicaid waiver discussions and adds insight into public health authority and federal grantmaking
• Deeper exploration of agenda setting with a new case study
• A timely analysis of the ACA Marketplace, the 2025 government shutdown and the changing roles of states and the presidency in policy leadership
• Landmark health laws (such as Medicare, Medicaid and the ACA) are used to illustrate broader policy frameworks that can be applied across topics from price transparency to workforce reform.

Designed to build confidence in health policy literacy, the text supports students in mastering domains such as systems thinking, strategic communication and regulation. It is particularly suited for clinicians, administrators and early-careerists seeking to influence policy from their unique vantage point—whether in care delivery, public service or organizational leadership.

Table of contents

• Front Cover
• Title Page
• Copyright
• Brief Contents
• Detailed Contents
• Part 1  HEALTH AND ITS POLICYMAKING CONTEXT
• Part 2  LEGISLATIVE POLICYMAKING
• Part 3  POLICY IMPLEMENTATION AND JUDICIAL REVIEW
• Part 4  CHARTING THE FUTURE
• Appendix A: Brief Summary of Medicaid and Medicare Prepared by KFF
• Appendix B: Overview of the Affordable Care Act
• Appendix C: Summaries of Selected Federal Legislation by Category
• Appendix D: Transparency in Political Spending
• Appendix E: Introduction to the Federal Budget Process
• Appendix F: Typical Plan for Legislative Oversight
• Appendix G: HIPAA Security Rule to Strengthen the Cybersecurity of Electronic Protected Health Information: A Proposed Rule
• Appendix H: Executive Order on Ending Procurement and Forced Use of Paper Straws
• Appendix I: Example of Public Response to Notice of a Federal Proposed Rule
• Appendix J: Opening Statement: Hearing on “Lessons from the Frontline: COVID-19’s Impact on American Health Care”
• Appendix K: Example of Modifications to Rules in Response to New Information and Operational Changes
• Appendix L: Using Bardach’s Framework for Policy Analysis
• Glossary
• Index
• About the Authors
• Back Cover