Health Affairs, 23, no. 2 (2004): 182-190 doi: 10.1377/hlthaff.23.2.182 © 2004 by Project HOPE	New Online   House Health Reform Bill   Paying for Reform   Vetting AHIP's Report   HIV/AIDS Costs   Brief: Insurance Reform   HA Blog Top 10

This Article Figures Only Full Text (HTML) 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 (3) Citing Articles via Google Scholar Google Scholar Articles by Maxwell, J. Articles by Petigara, T. Search for Related Content PubMed PubMed Citation Articles by Maxwell, J. Articles by Petigara, T. Related Collections Hospitals Insurance - Business Coalitions Insurance - Employer-Based System Business Of Health State/Local Issues

Health Tracking

MARKETWATCH

Private Health Purchasing Practices In The Public Sector: A Comparison Of State Employers And The Fortune 500

State governments are influential purchasers of health benefits but have not been studied extensively. In a recent survey of senior benefit managers, we examine the extent to which states have followed the private-sector approach to purchasing health care. We found that states have adopted "industrial purchasing" practices similar to those of large private employers but offer greater choice of carriers and pay a higher percentage of premiums. Unions continue to influence health care purchasing in both the public and private sectors. Double-digit increases in health costs and the current budget crisis may force states to align their purchasing practices with the private sector to cut costs.

                      What's this?

This article has been cited by other articles:

				C. G. Reddick and J. D. Coggburn State Government Employee Health Benefits in the United States: Choices and Effectiveness Review of Public Personnel Administration, March 1, 2007; 27(1): 5 - 20. [Abstract] [PDF]

				A. McKethan, D. Gitterman, A. Feezor, and A. Enthoven New Directions For Public Health Care Purchasers? Responses To Looming Challenges Health Aff., November 1, 2006; 25(6): 1518 - 1528. [Abstract] [Full Text] [PDF]

				R. E. Hurley, L. Felland, A. Gerland, and J. Pickreign Public Employees' Health Benefits Survive Major Threats, So Far Health Aff., May 1, 2006; 25(3): w195 - w203. [Abstract] [Full Text] [PDF]