Advertisement

Cost Containment and Reimbursement

  • Jeffrey C. Merrill

Abstract

Over the last decade, containing health care costs in the United States has become a major priority, almost an obsession, of both the government and the private sector. Both tried to control health care costs through a mix of diverse regulatory and antiregulatory (competitive) approaches, and through coercion and incentives. These mechanisms were designed, at times, to control the level of utilization of services and, at others, their price.

Keywords

Health Care Cost Health Care Expenditure Payment System Cost Containment Capital Expenditure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Notes

  1. 1.
    This was from a speech by Willis Goldbeck, president of the Washington Business Group on Health, at a meeting of the National Association of State Legislators in July, 1987.Google Scholar
  2. 2.
    Given the quote, anonymity is advisedly preserved. It was part of a private conversation between this individual and the author.Google Scholar
  3. 3.
    Again, understandably, there is a need for anonymity. This was said to the author in a private conversation with the head of one of that city’s largest HMOs.Google Scholar
  4. 4.
    Peter G. Peterson, “For Health Insurance with No Frills,” The New York Times Magazine, January 15, 1994, pp. 36–37.Google Scholar
  5. 5.
    Ibid., p. 37.Google Scholar
  6. 6.
    Taylor, p. 156.Google Scholar
  7. 7.
    For a good discussion of both the history and the actual implementation of this funding methodology, read Taylor cited earlier. Chapters One and Nine are particularly enlightening on this subject.Google Scholar
  8. 8.
    This is extracted from a talk Professor Graf von der Schulenberg gave at a conference on Health Care in the 1990s, sponsored by Blue Cross of California and the King’s Fund of Great Britain in September 1990. This was reprinted in the report cited above, Health Care in the 90s: A Global View of Delivery and Financing, p. 98.Google Scholar
  9. 9.
    My memory dims with respect to the name of the administrator. It was said in January 1976, at Mai-monides Medical Center in Brooklyn, New York, shortly after ESP was lifted.Google Scholar
  10. 10.
    Health Care in the 90s p. 99. Google Scholar
  11. 11.
  12. 12.
    Graig, p. 83.Google Scholar
  13. 13.
  14. 14.
    EBRI, p. 16.Google Scholar
  15. 15.
    Graig, p. 84.Google Scholar
  16. 16.
    J. Kosterlitz, “The United States Looks at Canadian Health Care/’ The National Journal, July 22,1989, quoted in Graig.Google Scholar
  17. 17.
    Health Care in the 90sp. 60. Google Scholar
  18. 18.
    Health Care Systems in Transition.Google Scholar
  19. 19.
    John K. Iglehart, “Japan’s Medical Care System,” New England Journal of Medicine, September 22, 1988.Google Scholar
  20. 20.
    Altman and Jackson, p. 140.Google Scholar
  21. 21.

Copyright information

© Jeffrey C. Merrill 1994

Authors and Affiliations

  • Jeffrey C. Merrill

There are no affiliations available

Personalised recommendations