...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...

...Thomas L. Greaney Following a string of government losses in cases challenging hospital mergers in federal court, the Federal Trade Commission and the Department of Justice issued their report on competition in health care seeking to set the record straight on a number of issues that underlie...

...John D. Colombo The Federal Trade Commission and Department of Justice 2004 report on competition in health care raises the issue of nonprofit versus for-profit form in several contexts, including their relative financial performance, pricing behavior, and role in caring for the uninsured poor...

...J. Michael Woolley Stuart H. Altman, Charles Brecher, Mary G. Henderson, and Kenneth E. Thorpe, Competition and Compassion: Conflicting Roles for Public Hospitals (Ann Arbor, MI: Health Administration Press, 1989), 221 pp., $30.00. H. E. Freeh III, Health Care in America: The Political...

...Stanley S. Wallack; Kathleen Carley Skwara; John Cai Neither rate regulation nor market competition alone is likely to contain health care spending in the long run. We need an approach to cost containment that can simultaneously address the major causes of rising health expenditures: higher prices...

...? Inquiry 24 : 221 -232. Winkenwerder , W. 1994 . Primary Care and Specialist Physician Roles in a Managed Care Environment. Chicago: American Medical Association. Academic Faculty Practices: Issues for Viability in Competitive...

..., and includes a useful description of the outcomes research movement by Deborah Freund. The second section, entitled “Competitive Strategies and Managed Care,” belongs to the economists. The editors, plus Craig Copeland, provide a literature review chapter on the varieties of man- aged care and its...

... Competitive Model. In Medicine and Health/Per spectives. Washington, DC: McGraw-Hill. Gunter , W. 1984 . Rate Regulation: A View from Florida's Treasurer and Insurance Commissioner. Florida Bar Journal 58 ( 3 ): 165 -66. Hadley , J. 1982 . More Medical Care, Better Health? Washington...

...Jon M. Kingsdale The aim of this paper is to demonstrate that the problems which arise from simultaneously developing regulatory and competitive approaches to health care cost containment can be solved, if recognized, and that those problems deserve more systematic investigation than they have so...

... to a Competitive Health Care System* Walter McClure, Interstudy Background and Summary There is mounting evidence that the private health care system, if restructured to establish effective consumer choice and provider competi- tion, could perform at superior cost, quality...

...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...

... in moderating spending increases, but they generated significant oppositionparticularly from powerful provider groups, who successfully convinced Congress and the states to dismantle most of the regulatory structure and to substitute various forms of competitive approaches to controlling spending. Some...

...Daniel W. Sigelman The conviction that competition could discipline the medical marketplace more adequately than regulation is rapidly ascendant among Washington policymakers. This article assesses the effects of the competition strategy on those who currently have health insurance coverage...

...Walter McClure This paper seeks to clarify so-called competition strategies for medical care, and to present a more flexible approach for public policy to encourage competition. In so doing, it appears useful to divide a competition strategy into two parts: (1) a structurally sound market model...

...Harvey M. Sapolsky Bradford H. Gray, ed., The New Health Care for Profit: Doctors and Hospitals in a Competitive Environment (Washington, D.C.: National Academy Press, 1983), 178 pp., $17.50 Copyright © 1984 by the Department of Health Administration, Duke University 1984...

...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...

...Robert F. Coulam; Roger D. Feldman; Bryan E. Dowd The Medicare program faces a serious challenge: it must find ways to control costs but must do so through a system of congressional oversight that necessarily limits its choices. We look at one approach to prudent purchasing — competitive pricing...

... of Kaiser in the late 1950s; Rochester, New York, which experienced rapid HMO growth and declining Blue Cross hospital use in the late 1970s; and Minneapolis/ St. Paul, which has been the focus of vigorous HMO competition in the last decade. While comprehensive data on health care expenditures...

...Roger Feldman; Bryan Dowd; Don McCann; Allan Johnson In this study we explore whether HMO-induced competition has contained expenditures in Minneapolis/St. Paul hospitals. Specifically, we assessed the impact of HMOs on revenue, cost, and net income per admission in Twin Cities hospitals from 1979...

...Pauline Vaillancourt Rosenau; Christiaan J. Lako The 2006 Enthoven-inspired Dutch health insurance reform, based on regulated competition with a mandate for individuals to purchase insurance, will interest U.S. policy makers who seek universal coverage. This ongoing experiment includes guaranteed...