Health Affairs

This Article Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (33) Citing Articles via Google Scholar Google Scholar Articles by Zwanziger, J. Articles by Bamezai, A. Search for Related Content PubMed PubMed Citation Articles by Zwanziger, J. Articles by Bamezai, A. Related Collections Health Reform Hospitals Insurance - Business Coalitions State/Local Issues State/Local Issues - California

Health Affairs, Vol 13, Issue 4, 118-126
Copyright © 1994 by Project HOPE

DataWatch

Costs and price competition in California hospitals, 1980-1990

J Zwanziger, G A Melnick, and A Bamezai

Critics of health care reform proposals that incorporate managed competition contend that it has never been broadly implemented. However, insurance plans that combine insurance with the provision of care have been widely implemented and have been tested most extensively in California. This DataWatch explores California's experience with health maintenance organizations (HMOs) and preferred provider organizations (PPOs), the introduction of which was followed by overall reductions in hospital costs. These reductions were larger in competitive markets. If implemented on a national scale, such selective contracting could be expected to reduce the growth of hospital costs even more rapidly than occurred in California.

                      What's this?

This article has been cited by other articles:

				T. Bodenheimer High and Rising Health Care Costs. Part 1: Seeking an Explanation Ann Intern Med, May 17, 2005; 142(10): 847 - 854. [Abstract] [Full Text] [PDF]

				W. P.M.M. van de Ven, R. C.J.A. van Vliet, and L. M. Lamers Health-Adjusted Premium Subsidies In The Netherlands Health Aff., May 1, 2004; 23(3): 45 - 55. [Abstract] [Full Text] [PDF]

				K. E. Flynn, M. A. Smith, and M. K. Davis From Physician to Consumer: The Effectiveness of Strategies to Manage Health Care Utilization Med Care Res Rev, December 1, 2002; 59(4): 455 - 481. [Abstract] [PDF]

				D. M. Shahian, W. Yip, G. Westcott, and J. Jacobson Selection of a cardiac surgery provider in the managed care era J. Thorac. Cardiovasc. Surg., November 1, 2000; 120(5): 978 - 989. [Abstract] [Full Text] [PDF]

				L. C. Baker Association of Managed Care Market Share and Health Expenditures for Fee-for-Service Medicare Patients JAMA, February 3, 1999; 281(5): 432 - 437. [Abstract] [Full Text] [PDF]

				M. E. Chernew, R. A. Hirth, S. S. Sonnad, R. Ermann, and A. M. Fendrick Managed Care, Medical Technology, and Health Care Cost Growth: A Review of the Evidence Med Care Res Rev, September 1, 1998; 55(3): 259 - 288. [Abstract] [PDF]

				T. C. Rosenthal, P. James, C. Fox, J. Wysong, and P. G. FitzPatrick Rural Physicians, Rural Networks, and Free Market Health Care in the 1990s Arch Fam Med, July 1, 1997; 6(4): 319 - 323. [Abstract] [PDF]

				D. F. Drake Managed Care: A Product of Market Dynamics JAMA, February 19, 1997; 277(7): 560 - 563. [Abstract] [PDF]

				K. E. Thorpe The Health System in Transition: Care, Cost, and Coverage Journal of Health Politics Policy and Law, January 1, 1997; 22(2): 339 - 361. [Abstract] [PDF]