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This section contains information about all of the projects and researchers that have been funded through the Investigator Awards program since the first grants were made in 1993. The indexes in this section can be used to identify investigators by name, area of expertise, or year of award. Throughout the site, you will find that each investigator’s name links to details including contact and project information.
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Colleen M. Grogan, Ph.D.
Colleen M. Grogan, Ph.D.
Associate Professor
School of Social Service Administration
University of Chicago
Email: cgrogan@uchicago.edu
Discipline: Political Science
Expertise: Insurance
Investigator Award:
From Targeting to Universalism? The Limits and Possibilities of Institutional Change in the Medicaid Program
Award Year: 1997

Significant social policy debate focuses on why the U.S. never achieved guaranteed health insurance for all citizens and whether universal or targeted programs are the answer. The typical American approach is to enact targeted programs and then focus on incremental expansions. Thus the crucial policy question is whether targeted programs can transform themselves into programs with universal characteristics. Dr. Grogan's project centers on the Medicaid program and its evolution from a public assistance program for the indigent to a payer of long-term care services for the middle class. Her objectives are threefold: 1) document Medicaid's partial universalization, analyzing how and why this expansion occurred; 2) evaluate its impact on the treatment of originally-targeted groups and on policymakers' support for the program; and 3) examine whether Medicaid's policy legacy limits the prospects for further expansions to new population groups or for improved services to existing Medicaid groups.

Background:

Colleen M. Grogan is an associate professor in the School of Social Service Administration at the University of Chicago. Her fields of special interest include health policy and health politics, the American welfare state, comparative state-level policy and politics, and empirical studies of participatory decisionmaking processes.

Professor Grogan is currently working on two book projects. The first is an empirical study of the effort to develop a participatory advisory board to discuss the design and implementation of health care reform for poor families in the state of Connecticut. The second book is a political history of the Medicaid program—our largest health care program in the U.S.— which attempts to explain changes in legislation and political discourse over time, examines policy feedbacks within the program, and assesses views about Medicaid's potential to expand coverage to other groups in the population.

Professor Grogan joined the SSA faculty in 1999 after serving as an Assistant Professor in the Department of Epidemiology and Public Health at Yale University, where she also held a joint appointment with the Institution for Social and Policy Studies. Prior to that she completed post-doctoral work at the University of California-Berkeley and conducted a year of independent study on urban health insurance reform in P.R. China. Professor Grogan graduated from the University of Wisconsin-Madison with a B.A. in Sociology, and earned a Ph.D. in Health Services Research and Policy from the University of Minnesota.

She has published broadly on issues of health policy and politics and U.S. health and welfare policies targeted at vulnerable populations. Recent publications include "A Marriage of Convenience: The History of Nursing Home Coverage and Medicaid" in Putting the Past Back In: History and Health Policy in the United States, "The Politics of Aging within Medicaid" in The New Politics of Old Age Policy, "Medicaid at the Crossroads" (with E. Patashnik) in Healthy, Wealthy and Fair: Health Care and the Good Society, and "Deliberative Democracy in Theory and Practice: Connecticut's Medicaid Managed Care Council" (with M.K. Gusmano) in State Politics & Policy Quarterly

Books:
Cover
Grogan, C., Gusmano, M., Healthy Voices, Unhealthy Silence: Advocacy and Health Policy for the Poor. Washington, D.C.: Georgetown University Press, 2007.
Book Chapters:
Grogan, C., Medicaid: Health Care for You and Me?. In Health Politics and Policy, 4th Edition, eds. Morone, J.A., Litman, T.J., Robins, L.S. Delmar Cengage Learning, 2008.
Grogan, C.M., A Marriage of Convenience: The Persistent and Changing Relationship between Long Term Care and Medicaid. In History and Health Policy in the United States: Putting the Past Back In, eds. Stevens, R.A., Rosenberg, C.E., Burns, L.R. New Brunswick: Rutgers University Press, 2006.
Grogan, C., Patashnik, E., Medicaid at the Crossroads. In Healthy, Wealthy and Fair: Health Care for a Good Society, eds. Brown, L.D., Jacobs, L., Morone, J. New York: Oxford University Press, 2005.
Selected Journal Articles:
Kandula, N.R., Grogan, C.M., Rathouz, P.J., Lauderdale, D.S. The Unintended Impact of Welfare Reform on the Medicaid Enrollment of Eligible Immigrants, Health Services Research, 2004, 39, 5, 1509-26.
Grogan, C., Patashnik, E. Between Welfare Medicine and Mainstream Entitlement: Medicaid at the Political Crossroads, JHPPL, 2003, 28, 5, 821-58.
Grogan, C.M., Patashnik, E. Universalism within Targeting: Nursing Home Care, the Middle Class, and the Politics of the Medicaid Program, Social Service Review, 2003, 77, 1, 51-71.
Grogan, C.M., Gusmano, M.K. How Are Safety-Net Providers Faring under Medicaid Managed Care?, Health Affairs, 1999, 18, 2, 233-7.