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best-price rule

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Journal Article
Journal of Health Politics, Policy and Law (1 February 2018) 43 (1): 5–18.
Published: 01 February 2018
... have all been discussed as alternatives to paying strictly for volume. Manufacturers and payers have complained, however, that Medicaid's “best-price rule” inhibits their ability to enter into these new pricing arrangements. This article examines the best-price rule and assesses to what extent, if any...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1998) 23 (1): 35–51.
Published: 01 February 1998
... Health Authorities and budget-holding general practitioners) to contract selectively with providers, favoring those who measure up on such crite- ria as price, quality, and responsiveness to consumer preferences (Klein 1995; Light 1997; Glennerster 1995). At the farther frontier of managed care one...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2007) 32 (1): 9–49.
Published: 01 February 2007
... in the case of agricultural quotas under marketing orders where the interests of growers in restricting supply to raise prices adversely affects consumers, private rule making may simply offer a technically efficient way of achieving a socially undesirable allocation. The nature of the OPTN...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2014) 39 (4): 751–780.
Published: 01 August 2014
... itself, in internal deliberation. It is uncertain whether these periods of deliberation are best described as regulatory capture or in the context of more neutral, pluralist understandings of interest group influence on regulatory outcomes. The FDA should consider providing greater transparency for the...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1997) 22 (1): 147–184.
Published: 01 February 1997
... this approach to accountability the economic model (Emanuel and Emanuel 1996). In the ideal economic model of accountability, patients should be viewed as consumers who are shopping among managed care organiza- tions for what they perceive to be the best combination of price and qual- ity that...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1992) 17 (4): 637–666.
Published: 01 August 1992
... receives for the same service can vary enormously, depending upon the insurance carrier paying the charge. In some respects, the pricing of health care services has come to resemble more and more the price-discriminatory schemes used by the airlines. As a general rule, the insurance policies...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2005) 30 (1-2): 121–142.
Published: 01 April 2005
... hospital reform ranges from the introduction of negotiated target budgets in each hospital (operative between 1989 and 1992), legally set fi xed budgets between 1993 and 1996, and 128 Journal of Health Politics, Policy and Law The best way to explain the unusual interpretation of German health...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1978) 3 (3): 375–387.
Published: 01 June 1978
...) state ratesetting; (3) fixed-price or perform- ance incentive contracting with intermediaries or carriers; and (4) reim- bursement for clinical psychologists, physician extenders, and other non- covered services. Neither section 222 nor 11 15 explicitly authorizes the reduction of...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2010) 35 (2): 227–276.
Published: 01 April 2010
... political choices about which public policies it wants to pursue. That is the point of codifying the limited role of public policy. (ibid.) In 2007, then FTC chair Deborah Platt Majoras also expressed the view that consumers are best served by the free flow of information in the mar- ketplace...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2006) 31 (3): 511–529.
Published: 01 June 2006
... Overview. Health Affairs 16 : 9 -28. Conner, R. A., R. D. Feldman, and B. E. Dowd. 1998 . The Effects of Market Concentration from Horizontal Mergers on Hospital Costs and Prices. International Journal of the Economics of Business 5 : 159 -180. Cuellar, A. E., and P. J. Gertler. 2005 . How...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1982) 7 (1): 128–162.
Published: 01 February 1982
... was an agreement that the guide would be used in pricing anesthesia services so as to curtail or interfere with the setting of prices by free market forces,”z3the court could have disposed of the case on jurisdictional However, the court extended its analysis into a rule-of-reason...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2003) 28 (2-3): 341–354.
Published: 01 June 2003
... private sector seems to lack the will and the way to do what it does best, which is innovate in new forms of organization, finance, and processes of care. Its focus is resolutely on the margins rather than the mainstream, tinkering with benefit designs, pricing models, and under- writing techniques...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2005) 30 (1-2): 189–210.
Published: 01 April 2005
... solutions to meet the urgent need for cost containment. During the second period (1994-2000),the etatist program regained its previously dominant position. In parallel to a strengthening of supply and price controls, however, the government also persevered in creating the technical and institutional...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1977) 2 (1): 32–47.
Published: 01 February 1977
... are no existing foundations or other qualified organizations, state and county medical societies are in the best position to organize them, simply because they have the organizational “capital” and because the PSROs must be composed of a substantial proportion of a region’s physicians...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2009) 34 (4): 509–530.
Published: 01 August 2009
... in all health care systems, and single-payer models may be the best option if the aim is to incorporate structured rationing such that an entire population is subject to the same rules and is thus treated equitably. A further perceived disadvantage of the single-payer model is that it offers limited...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1984) 8 (4): 639–659.
Published: 01 August 1984
... be of the same order of magnitude as that of providing the service itself These high transaction costs may be taken as an indication that the standard modes of control-prices and administrative rules-experience serious frictions under these circumstances. The market is a...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1998) 23 (1): 1–33.
Published: 01 February 1998
... three countries, “purchasers” were now supposed to shop around for the best deal they could get from providers, using their near-monopsony power to negotiate both low unit prices and high quality standards. As purchasers were given this new ability to choose among providers, it fol- lowed that...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1993) 18 (1): 189–202.
Published: 01 February 1993
... progress in the development of the most important sub- stitute, artificial organs. While research is being done on xenografts, the use of animal organs, most transplant specialists consider this possibility a long-run alternative at best (Otten 1988). While demand has increased, the supply of...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1979) 4 (3): 464–490.
Published: 01 June 1979
...- derstanding that the unions would accept wage restraint in return for priority being given to spending on the social services-the so-called Social Contract.35The tactical problem for Ministers was therefore how best to make the maximum political impact at the minimum expense. Given this context...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2008) 33 (2): 225–247.
Published: 01 April 2008
... budget in one way, decision makers forgo other opportunities to use the same resources. Under a set of unrealistic assumptions, cost-effectiveness analysis accounts for opportunity cost while conveying to the decision maker the price of maximizing health gains, subject to a budget or resource constraint...