Introduction / John J. DiIulio, Jr. and Richard P. Nathan -- Administrative principles / John J. DiIulio, Jr., Richard P. Nathan, and Donald F. Kettl -- Health alliances: functions, forms, and federalism / James R. Tallon, Jr. and Lawrence D. Brown -- Cost containment and rate saving / James W. Fossett -- The quest for quality care: implementation issues / Frank J. Thompson -- Reform and the medical work force: choices and challenges / Michael S. Sparer -- An ounce of implementation needs a pound of policy foresight / John J. DiIulio, Jr., Donald F. Kettl, and Gerald Garvey -- Implementing health reform: what the states face / Lawrence D. Brown.