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Health Affairs, Vol 12, Issue 1, 58-69
Copyright © 1993 by Project HOPE


Journal Article

Cost-effective health care: the Rochester experience

W J Hall and P F Griner

Rochester, New York, has been cited repeatedly for having achieved one of the most cost-effective and efficient health care systems in the country. The determinants of the success of this system include a long history of comprehensive health planning; innovative hospital reimbursement programs; community-rated health insurance; and high levels of mutual cooperation among business, insurers, hospitals, and physicians. The Rochester system promotes the goals of access, quality, affordability, and provider satisfaction through a balanced approach to regulation and competition.


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