Cost Containment and Reimbursement

  • Jeffrey C. Merrill


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.


Health Care Cost Health Care Expenditure Payment System Cost Containment Capital Expenditure 
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  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
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    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
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    Peter G. Peterson, “For Health Insurance with No Frills,” The New York Times Magazine, January 15, 1994, pp. 36–37.Google Scholar
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    Ibid., p. 37.Google Scholar
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    Taylor, p. 156.Google Scholar
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    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
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    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
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    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
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    Health Care in the 90s p. 99. Google Scholar
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    Graig, p. 83.Google Scholar
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    EBRI, p. 16.Google Scholar
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Copyright information

© Jeffrey C. Merrill 1994

Authors and Affiliations

  • Jeffrey C. Merrill

There are no affiliations available

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