Health care costs: a moral and economic problem

Article Abstract:

Health care costs are rising because of the incentive effects of insurance. These effects were supposed to be corrected by HMOs and Preferred Provider Insurance in which providers of care have incentives to be economical. But employers have not made these health plans compete on price. For example, under the formula used by the University of California for its employee health care, there is no marketplace reward for health plans with premiums below the average to reduce or hold down premiums. In the interests of a high-quality but affordable system of care, the U.C. and all other employees should instead adopt a strategy based on managed competition. (Reprinted by permission of the publisher.)

Economic aspects, Medical care, Cost of, Health care costs

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Structural problems of managed care in California and some options for ameliorating them

Article Abstract:

The authors argue that the efficiency problems that plague California health maintenance organizations stem from the overlapping of independent practice association and health maintenance organization networks of physicians and hospitals. Potential solutions and their advantages and disadvantages are also discussed.

California, HEALTH SERVICES, Health Maintenance Organizations, HMO Medical Centers, Social policy

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In loco parentis? The purchaser role in managed care

Article Abstract:

An analysis is presented on the purchasing of employee health insurance by corporations, and the ethical, legal and financial implications resulting from those decisions. Topics include medical necessity, managed care, and choice appropriateness.

United States, Direct Health and Medical Insurance Carriers, Medical Care Insurance, Evaluation, Health insurance, Employee benefits, Health services administration

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