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Health Affairs, Vol 17, Issue 6, 128-137
Copyright © 1998 by Project HOPE

Health Tracking

Bringing collaboration into the market paradigm

R A Berenson

The market competition paradigm assumes that health plans will compete on many factors, including quality of care. Unfortunately, for many reasons health plans have not made a substantial effort to distinguish themselves on quality. The antitrust laws that are designed to protect competition allow selective collaboration among competitors for various purposes, including quality improvement. Within antitrust constraints, specific opportunities exist for competing health plans to collaborate to improve quality. Their success will depend on purchasers' ability to demand such collaborative efforts as part of their overall purchasing strategy.

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