... patients. In 1977, the government passed a Health Care Cost Containment Act which ordered several measures to curb costs: prospectively negotiated ceilings on expenditures for physicians' services, dentists' services and prescription drugs; strengthening of utilization review; composition of a unified fee...

...Richard B. Saltman; David W. Young In-patient hospital costs have grown at an annual rate of 15 percent for the last fifteen years, and the cumulative impact of these increases has created tremendous political pressures to contain this growth. Yet despite numerous attempts to pinpoint the causes...

... reforms in public-sector programs to achieve their theoretical potential for cost containment. Although there is only a limited literature addressing the actual implementa- tion of competition in public medical care programs, numerous published studies have analyzed the implementation experience...

... and of the different occupational groups' permanent power-maximizing strategies. Subsequently, the article assesses the impact of these strategies upon two recent efforts to contain the hospital's costs: a decision to close an expensive specialty clinic, and an attempt to shrink the hospital's size by transferring...

...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...

...Arnold H. Raphaelson; Charles P. Hall, Jr. Voluntary and regulatory efforts toward hospital cost-containment have accelerated with rapid increases in those costs and under pressures of national health insurance. Possible causes of hospital cost inflation are examined in the context of market...

...Trudi W. Galblum In a climate of increasing pressure to contain health care costs. legislators and health services researchers from time to time have proposed experiments involving reductions in benefits currently authorized under the Medicare and Medicaid programs. This paper examines three court...

... University Press 1993 Commentary Regulatory Regimes and State Cost Containment Programs Robert B. Hackey Rhode Island Department of Health...

... and Attempts at Cost Containment in the Statutory Health Insurance System of the Federal Republic of Germany. In The Public/Private Mix for Health, ed. Gordon McLachlan and Alan Maynard. London: Nuffield Provincial Hospitals Trust. Blanpain , J. , L. Delesie, and H. Nys. 1978 . National Health...

..., and the consequences of this legislation for cost, access, and quality of service. Medicare Reimbursement for Hospice Care: Ethical and Policy Implications of Cost-Containment Strategies Irene Fraser, American Hospital Association Abstract. In several areas of health policy...

.... These may bear only a loose relation to evidence or knowledge narrowly denned. The pressures of cost escalation over the past twenty years, and the attempts at containment in the U.S. and Canada, have added substantially to our knowledge of how the health care system works. Containment is possible...

...Lawrence G. Goldberg; Warren Greenberg In our previous paper, we showed that market forces can play a significant role in controlling health care costs and that a considerable amount of cost containment effort was pursued by third-party insurers in Oregon in the 1930s and 1940s. Although physicians...

... . Health Affairs 29 : 1293 – 1298 . Patient Protection and Affordable Care Act Cost-­Containment Choices: The Case for Incentive-Based­ Approaches Mark V. Pauly University...

...Bruce C. Vladeck Karen Davis, Gerard F. Anderson, Diane Rowland, and Earl P. Steinberg. Health Care Cost Containment . Baltimore, MD: Johns Hopkins University Press, 1990. 266 + ix pp. $45.00 cloth, $18.95 paper. Copyright © 1991 by Duke University Press 1991...

...David A. Pearson; David S. Abernethy In April 1977, the Administration's Hospital Cost Containment Act was introduced in the House of Representatives and the Senate. Reaction to the proposal on the part of the hospital industry was immediate and generally negative. The congressional response has...

... of stakeholder mobilization and public policy over time. We find that early policy choices about how to achieve cost containment led the states down different paths of reform. In the 1970s and 1980s, states that featured oligopolistic or near-monopolistic markets for private insurance (usually dominated by Blue...

...Pamela Paul-Shaheen; Eugenia S. Carpenter A variety of programs aimed at health care cost containment have been initiated at the state level. This article presents a case study of one state's effort to deal with health care cost issues, focusing on the formulation and adoption of legislation...

... One of the most widespread criticisms of the Patient Protection and Affordable Care Act (ACA) is that it does little to contain health care costs. While some economists argue that the ACA will “bend the cost curve,” Jonathan Oberlander and Thomas Rice contend that the provisions will not control...

...) Is a differential payment justified for Medicare, Medicaid, and/or Blue Cross on the basis of differential costs? (2) Have the cost-containment efforts of the dominant payers reduced total payments to hospitals? and (3) What part of the overall savings in payments to hospitals is in the form of reduced costs rather...

... of ceilings on rates appear to be very important, regardless of the general reimbursement method. For example, prospective systems with weak efficiency incentives, generous inflation adjustments, and high percentile ceilings have lesser cost-containment effects than prospective systems with stringent...