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Title
All-payer ratesetting: down but not out.
First Author
Anderson, Gerald F
Date of Pub
1991 Supp.
Pages
35-41; discussion 42-44
Volume
Supp.
Issue
N/A
Other Authors
N/A
Abstract
In the United States, when the cost-containment paradigm shifted from regulation to competition, all-payer hospital ratesetting went out of favor. After reviewing the published literature and supplementing the existing literature with more current information, the author concludes that all-payer ratesetting is able to meet its multiple objectives of cost containment, reduction of the amount of cost shifting, improvement of access to the uninsured, and increased productivity. At the same time, all-payer ratesetting has not stifled the diffusion of competitive health care systems or new technology, and any impact on length of stay, admissions, and quality of care is small, if it exists at all.
Abstract Continued
N/A
MeSH
Cost Allocation : Cost Control : Economic Competition : Evaluation Studies : Facility Regulation and Control/economics/legislation & jurisprudence : Fees and Charges/legislation & jurisprudence : Financial Management, Hospital/legislation & jurisprudence : Health Policy/economics/trends : Maryland : Rate Setting and Review/legislation & jurisprudence : United States
NTIS Number
PB99-106478