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Government Reform: David Osborne

David Osborne, co-author of the popular Reinventing Government book in the early 1990s and one of my intellectual mentors in government reform, published a column in the current issue of Government...

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How Many Waivers Is Too Many Under Health Reform?

Obama administration trying to find right balance on granting waivers under health reform law. As The New York Times reported over the weekend, the Obama administration has been fairly generous in its...

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For Some States, Health Reform Law is a Tether

States like Oregon and Vermont want to go much further than the law may allow them for now Flexibility is the name of the game according to proponents of the law including the President himself....

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U.S. Government to Fund Innovative Care Model in Oregon

Waiver for Medicaid coordinated care program likely to be approved soon. In exchange for payment cuts to Medicaid providers, Oregon will initiate an incentives program with the help of $1.9 billion in...

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Using Design Thinking to Make a Difference

The corporate world is all abuzz with “design thinking” – where services are organized around a customer’s needs. In the federal government, US Digital Services teams are fanning out across the...

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