Interactive Governance and Implementation Effectiveness in India's National Health Insurance Program

Maurya, Dayashankar and Kwan, Chang Yee (2018) Interactive Governance and Implementation Effectiveness in India's National Health Insurance Program. Australian Journal Of Public Administration. pp. 1-18.

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Many public sector programs, such as those directed at public health, are often multiagency tasks where structural incongruity in the program design is liable to emerge overtime from changing operational requirements. Yet, successful implementation remains possible because of the interactions and relationships between implementation parties that encourage cooperation and collaboration despite incongruence in the program design. We examine how the dynam-ics of these interparty relationships influence implemen-tation success in a comparative study of India's NationalHealth Insurance Scheme. We find that implementation par-ties exhibiting support and complementarity in their inter-actions created a virtuous cycle of continually encourag-ing better performance and vice versa. Thus, our findings exhibit a distinct functionary role of interparty interactions and relationships for eliciting effective implementation and governance. The analysis also showcases the need for pol-icy makers and policy designers to be cognizant of the inadvertent introduction of structural inconsistencies and vetopoints into program designs and their potential influence on implementation outcomes

Item Type: Article
Uncontrolled Keywords: Interactive governance; interparty relations; National Health Insurance schemes; RSBY; veto points
Subjects: Health Care
Divisions: Health care Management
Depositing User: Mr. Muralidhara D
Date Deposited: 03 Jan 2019 11:54
Last Modified: 10 Jan 2019 09:43

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