积极的监管者还是被动的价格接受者:HIPCs(医疗保险购买合作社)应该扮演什么角色?

E K Wicks
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引用次数: 0

摘要

尽管在这一主题上有广泛的变化,但有管理的竞争仍然是联邦和州政府在制定医疗改革时所青睐的模式。管理竞争的一个关键因素是建立医疗保险购买合作社,将个人或雇主的集体购买力结合起来,使其具有市场"影响力"。决策者必须决定,他们是否希望重债穷国成为一个积极的监管者——利用其权力迫使医疗计划做出改变——还是一个被动的价格接受者,与满足关键标准的计划签订合同。
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Aggressive regulator or passive price-taker: what role should HIPCs (health insurance purchasing cooperatives) play?

Despite extensive variations on the theme, managed competition continues to be the favored model of federal and state governments in crafting health reform. A critical element in managed competition is the establishment of health insurance purchasing cooperatives (HIPCs), which band together the collective buying power of individuals or employers to give them market "clout". Policymakers must decide whether they want a HIPC to be an aggressive regulator--using its power to force changes among health plans--or a passive price-taker that contracts with plans meeting key criteria.

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