...John H. Cawley; Andrew B. Whitford In 2003, Congress passed the Medicare Prescription Drug, Improvement, and Modernization Act, which required that in 2006 the Centers for Medicare and Medicaid Services (CMS) implement a system of competitive bids to set payments for the Medicare Advantage program...

...Diane G. Hillman; Jon B. Christianson The State of Arizona recently instituted a competitive bidding process, in order to establish a health services delivery system for indigents and to determine capitated reimbursement levels for providers in that system. This article describes the implementation...

...Jeffrey S. McCombs; Jon B. Christianson This paper reviews the empirical literature on competitive bidding for health services under public programs and, in this context, discusses the major issues that must be confronted in designing bidding systems. These issues include the specification of units...

... among both the American states and the provinces and territories of Canada. Four American states have adopted all-payer hospital rate setting: one other uses competitive bidding. All five show rates of growth in per capita hospital spending comparable to (and in some cases, lower than) the Canadian...

... better than the poor did in the previous system. However, limiting eligibility will be the primary means of controlling costs; significant price competition is not likely to develop. The bidding process will serve more to transfer risk to contract providers than to improve program efficiency. Potential...

...J. Warren Salmon; H. Stephen Lieber; Mary C. Ayesse While California's Mcdi-Cal program and Arizona's Health Care Cost Containment System have been subject to scholarly analysis, little has been written about a similar attempt at competitive bidding under Medicaid by Illinois. This article...

... case studies where government has acted as such a broker. Two are from health (Medicaid's system of competitive bidding in Arizona, and a Medicare demonstration project on selective contracting for medical equipment and supplies), and one from the pension field (so-called 457 plans). The case studies...

... Competitive Bidding Demonstration . Medicare Update: Medicare Compliance, Reimbursement, and Enforcement Resource . Blog entry , April 12 . medicareupdate.typepad.com/medicare_update/2008/04/on-april-8-2008.html . Areeda P. Turner D. F. . 1975 . Predatory Pricing and Related Practices...

..., and presumably places competitive pressure on the plans to provide services responsive to consumer preferences. Since eligible providers are limited to capitation plans, all state payments to providers can be made on a capitation basis. The capitation rates are determined by a competitive bidding...

...), enacted in 2003, introduced a new payment system that established county-level benchmarks and plan bids with the goal to encourage more plan participation and greater enrollment by passing on rebates to plans that bid below their benchmarks. Although the MMA was successful at encouraging plan...

..., the sorts of nonprofit organizations presup- posed by the chain-­auction system have already developed to facilitate paired or chain donation, albeit without any donor payment components at present. As for the second notable merit, building on the chain approach and using chain length as a bidding...

...; and Rice and Desmond 2002. Rice and Desmond ■ Distributional Effects of Premium Support 1189 government contributes a certain amount of money to a particular Medi- care beneficiary for the purchase of health insurance coverage. The size of this contribution is tied to the actual bids proffered...

... markets for industrial inputs, such as compet- itive bidding. They often seek to use their market power to get lower prices by bargaining intensively with a few carriers. Since they are trying to minimize costs rather than creating a platform where individual work- ers can perform this function...

... true costs on which to base payments. Grogan  ■  Editor’s Note  645   Well, some beg to differ. Competitive bidding has been offered up as a solution to the second-­order question of determining fee amounts. The idea is that if firms are forced to compete...

... of Public Health. Granneman , T. , and M. Pauly. 1983 . Controlling Medicaid Costs: Federalism, Competition, and Choice. Washington, DC: American Enterprise Institute. Hillman , D. , and J. Christianson. 1984 . Competitive Bidding as a Cost-Containment Strategy for Indigent Medical Care...

... for the first time in the state’s history. AHCCCS used competitive bidding to select newly formed primary care man- aged health plans that provided services to newly entitled Medicaid recipients in each county of the state. Arizona also used competitive bidding to select a private administrator...

... backed by Ryan and Republican presidential nominee Mitt Romney in the 2012 elections, base federal payments on plan bids or a more generous index (or cap) than CPI, and thus would not eviscerate Medicare beneficiaries' insurance coverage. The trade-off is that such plans, because they involve a higher...

... health plans through a competitive bidding process, thereby providing beneficiaries with a more manageable set of health plan options. The authors examine three case studies in which other government programs (public pensions, Medicaid managed care, and Medicare bidding for durable equipment...

.... Reforms that require additional resources (such as case managers, data analysts, and targeted programs) entail a real resource cost. Many supply-side interventions require such resource use. Benefit design changes, including, but not limited to value-based insurance designs (V-BIDs), may be less expensive...

... Bidding and States’ Purchase of Services: The Case of Mental Health Care in Massachusetts. Journal of Policy Analysis and Management 5 ( 2 ): 245 -263. Starr , P. 1990 . The New Life of the Liberal State: Privatization and the Restructuring of State-Society Relations. In The Political Economy...