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Managed competition: little cost containment without budget limits

Aaron, H J ; Schwartz, W B

Health Affairs, 1993, Vol.12 Suppl (suppl 1), p.204-215 [Periódico revisado por pares]

United States: The People to People Health Foundation, Inc., Project HOPE

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Título:
Managed competition: little cost containment without budget limits
Autor: Aaron, H J ; Schwartz, W B
Assuntos: Budgets ; Communities ; Competition ; Competitive Medical Plans - economics ; Containment ; Cost containment ; Cost Control ; Emergency medical care ; Emergency medical services ; Ethical standards ; Ethics ; Expenditures ; Federal budgets ; Federal government ; Financing ; Health care ; Health care expenditures ; Health care policy ; Health insurance ; Health maintenance organizations ; HMOs ; Hospitals ; Humans ; Implementation ; Managed care ; Managed Care Programs - economics ; Managed competition ; Medical personnel ; National Health Insurance, United States - economics ; Patients ; Physicians ; Primary care ; Public finance ; Purchasing groups ; Reforms ; System effectiveness ; United States ; USA
É parte de: Health Affairs, 1993, Vol.12 Suppl (suppl 1), p.204-215
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: The growth of health care costs cannot be slowed significantly without global budget limits. Neither economic theory nor less formal observation supports the idea that competitive mechanisms alone will generate the right level or mix of health care spending. The right mix of the 2 approaches is unknown and is likely to vary depending on local conditions. The federal government should set targets for health care spending, but give considerable latitude to the states on how to meet those targets. California may elect to use a premium control mechanism linked to managed competition similar to that embodied in the Garamendi plan. Such states as New York or Maryland may choose to build on hospital budget controls they have developed over a decade or more. Congress should realize that all reform must begin from where the health care system is and simply insist that each state meet specified standards for limiting expenditure growth and assure financial access to all its citizens.
Editor: United States: The People to People Health Foundation, Inc., Project HOPE
Idioma: Inglês

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Managed competition: little cost containment without budget limits

Aaron, H J ; Schwartz, W B

United States: The People to People Health Foundation, Inc., Project HOPE

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