...William P. Brandon; Emma K. Lee The regulation of HMOs by health planning agencies serves as a “tracer” to aid in evaluating HSAs, and as a source of empirical evidence for the heretofore largely theoretical health policy debate between market reformers and regulators. Two complementary studies...

.... For a variety of reasons, the methodology and procedures employed failed to reveal the adverse effects of Proposition 13 on health services. This paper deals with the actual and potential role of health systems agencies (HSAs) in monitoring such effects, commenting in public hearings on budget review...

...Jonathan P. West; Michael D. Stevens With the implementation of the National Health Planning and Resources Development Act, comprehensive health planning is moving into a new phase. In search of lessons to guide future planning efforts on the part of the Health Systems Agencies (HSAs) established...

...James D. Chesney The goal of having local health planning agencies represent their communities is considered. A basic premise is that the legal structure of an agency is related to how well a community is represented. This premise is tested, and two strategies are presented for building HSAs which...

...Harold S. Luft; Gary A. Frisvold Health Systems Agencies (HSAs), the new regional health planning agencies established by the National Health Planning and Resources Development Act of 1974 , have as their major goals quality, accessibility, continuity and cost containment. One of the tools for cost...

..., consumers formed an organization which conducted a series of community forums to provide information and generate publicity about local health care issues, sponsored training workshops for consumer leaders and HSA board members, worked to delay the final designation of the agency, and organized to take...

... and cost of the technology, but it represents only one of several key issues in the whole debate over the spending for and distribution of high technology medicine .3 From the beginning, Congress has underwrit- ten the development of Health Systems Agencies (HSAs) in the hope that Journul...

... the current program is familiar to many, I will review some of its important points. The first major component of the law is the creation of a new planning and regulatory structure. At the local level, it establishes a network of 213 Health Systems Agencies (HSAs) across the country. These HSAs...

... in this exploratory effort. A number of documents and background information, such as the plans of the Health Systems Agencies (HSAs) and grant applications submitted by the com- munity mental health centers, were collected to support the generaliza- tions made in this paper. However, most...

.... Statistical analyses show that owners of Individual Retirement Accounts (IRAs) and Health Savings Accounts (HSAs) experience policy feedback effects, but in opposite directions. More specifically, matched comparisons of respondents in a national survey indicate that IRA participants are more likely to favor...

... slate to the local HSA board, and caused consumers to reconsider their participation in health planning. Among the conclusions drawn is that health planning operates in an imbalanced political arena in which providers can mobilize powerful resources to defeat consumer action. The Empire Strikes Back...

...-care hopitals by amending the CON legislation to require: (1) identification of those health facility service areas with an excess of hospital beds; (2) development by Health Systems Agencies (HSAs) of hospital- specific plans for the elimination of such excess capacity within their jurisdictions...

... Act would not be reauthorized. In addition, budget reconciliation reduced the Act's powers by raising certificate-of-need (CON) thresholds and by allowing its institutional arms, the Health Systems Agencies (HSAs), to waive appropriateness reviews as well as reviews for proposed uses...

... assert that Benjamin and Downs Evaluating Health Planning 709 the health planning system has been responsible for a 13 percent decrease in the rate of capital construction,* or that the success of certain HSAs can be attributed to the size and quality of their staffs? As we...

... Development Act of 1974. Created at a time when Water- gate had spawned a strong feeling of distrust between the legislative and executive branches, the act is highly prescriptive in establishing a national network of health systems agencies and(HSAs) in directing its implementation...

... the extent to which HSAs complied with the requirements of EL. 96-79 to publish data on the 25 most frequently used hospital services (p. 74). The reader is left to assume that all HSAs collected and published the required data. This problem is related to a general blurring of time...

...’ decisions on admissions and length-of-stay; prospective rate setting bodies to review and determine hospitals’ budgets, revenues, and rates; health systems agencies (HSAs) to make hospital growth conform to areawide and statewide plans; and-the subject of this paper- certificate-of-need (CON...

... by now, P.L. 93-641 establishes what is basically a two-tiered system of health planning. Health Systems Agencies (HSAs), organized on a regional basis, have the primary planning responsibilities, but little formal power. State health planning agencies (more formally State Health Planning...

... of Health Systems Agencies (HSAs) and empha- sized consumer participation in planning. In addition to “broadly represen- tative” consumer majorities on HSA governing bodies, the law provided for public notice and open meetings, public hearings on plans, and a pub- lic record of board proceedings...

... that serve the interests of physicians and hospitals. A fundamental question arises as to whether Congress, in enacting the Planning Act of 1974 and establishing Health System Agencies (HSAs), repealed application of antitrust law to the activities of these new planning agencies.’ Since...