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Competition and Health Care Policy: Experience and Expectations
Lawrence D. Brown
The Annals of the American Academy of Political and Social Science
Vol. 468, Health Care Policy in America (Jul., 1983), pp. 48-59
Published by: Sage Publications, Inc. in association with the American Academy of Political and Social Science
Stable URL: http://www.jstor.org/stable/1044496
Page Count: 12
You can always find the topics here!Topics: Health maintenance organizations, Hospital costs, Health care costs, Hospital administration, Health care industry, Health insurance, Government, Economic competition, Regulatory competition, Health policy
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Since 1970 federal policymakers have tried to strengthen competition and incentive-based market forces as alternatives to regulation in containing health costs. The effort to stimulate the growth of health maintenance organizations (HMOs) throughout the country has had limited results, and federal plans to promote competition by enacting changes in the health insurance market have so far come to little. Coalitions in some localities have shown growing interest in flexible HMO variants, however, and the intellectual force of the HMO critique of mainstream practices remains strong. Moreover, the federal government has shown new interest in prospective reimbursement of hospitals-a proposal that draws from both HMOs-competition-and hospital rate-setting programs-regulation-the element of prospectivity.
The Annals of the American Academy of Political and Social Science © 1983 American Academy of Political and Social Science