Regulatory and Nonregulatory Strategies for Controlling Health Care Costs
- Creators
- Enthoven, Alain
- Noll, Roger G.
Abstract
To date, three generic types of policy responses to the problem of rising health expenditures have been proposed. One is to increase greatly the share of medical costs that is paid by the patient so that consumers will have much more incentive to economize on medical services. A second is to leave intact the incentives for increasing expenditures in the fee-for-service, cost reimbursement, third-party intermediary system, but to impose economic and technical regulation on providers in an attempt to prevent the incentives from producing their natural effect. The third is to restructure the delivery and payments system in a manner that alters the basic financial incentives facing providers so that they find it in their interest to provide good quality but cost-effective care. The main thesis of this paper is that spending on health services cannot be effectively controlled in the present political context without the use of a policy of the third type.
Additional Information
Prepared for the Sun Valley Forum, August 1977. Revised for publication in September 1977.Attached Files
Submitted - sswp185.pdf
Files
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Additional details
- Eprint ID
- 82621
- Resolver ID
- CaltechAUTHORS:20171024-134908927
- Created
-
2017-10-24Created from EPrint's datestamp field
- Updated
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2019-10-03Created from EPrint's last_modified field
- Caltech groups
- Social Science Working Papers
- Series Name
- Social Science Working Paper
- Series Volume or Issue Number
- 185