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Produced in close consultation with state health care officials from all around the country, this important volume addresses the central implementation, management, and federalism dimensions of health reform. Chapters by some of the country's leading health policy and public management experts explore the administrative challenges of reform as they relate to health alliances, cost containment, quality of care, medical education and training, and other key issues. They discuss various working principles for developing an administratively sound health reform policy. The contributors are Lawrence D. Brown, Columbia University; Gerald J. Garvey, Princeton University; Donald F. Kettl, University of Wisconsin-Madison; Michael Sparer, Columbia University; James R. Tallon, United Hospital Fund; James R. Fossett and Frank J. Thompson, State University of New York, Albany.