Assistant Professor of Public Service
Shanna Rose is a political scientist with expertise in state politics, federalism, government budgeting, and health policy. Her recently published book, Financing Medicaid: Federalism and the Growth of America's Health Care Safety Net(University of Michigan Press) examines the role of fiscal federalism in driving the growth of public spending on health care for low-income Americans. A current project, States as Stakeholders: Federalism and Policy Feedback in the United States(with Andrew Karch), examines state leaders' responses to the introduction of federal policy initiatives such as Medicaid, cash assistance, and unemployment insurance. Her research also has appeared in The Journal of Politics, Public Administration Review, and Public Choice, among others. Professor Rose currently teaches The Politics of Public Policy at the undergraduate level and Introduction to Public Policy at the graduate level. She also has experience teaching a variety of courses related to American politics, government budgeting, political economy, and empirical methods. She is the recipient of several teaching awards including Professor of the Year at NYU Wagner and the Dean's Award for Excellence in Student Teaching at the Harvard Kennedy School. She holds a Ph.D. in political economy and government from Harvard University.
Medicaid’s transformation since its inception rivals the biological changes of metamorphosis, and that process is not yet over. Past metamorphoses are the change from a small program with eligibility linked to the states’ cash welfare benefits to one with national eligibility standards covering many not receiving cash benefits, from a traditional fee-for-service payment program to one dominated by capitated managed care arrangements, and under the ACA to a widely accepted component of a national system for near universal insurance coverage. An analysis of the forces behind these significant changes suggests that future transformations are likely, and four potential scenarios are presented and assessed.