A Consumer-Choice Health Plan for the 1990s: Universal Health Insurance in a System Designed to Promote Quality and Economy (Second of Two Parts)
New England Journal of Medicine. 1989 Jan 12; 320(2): 94-101.
In order for universal health insurance to find broad acceptance in the United States, it must avoid creating large windfall gains and losses, radical disruption of current satisfactory arrangements, or large-scale income redistribution, while respecting the preferences of voters, patients, and providers. The authors propose a plan for universal insurance based on managed competition, and discuss its effects on medical practice, coverage, and employment, as well as other strategic alternatives based on managed competition. Their model for managed competition through public and private financing and administration and a system of incentives is compared to mandated coverage of full-time employees by employers, the recently enacted health security legislation in Massachusetts, high-risk pools for the "medically uninsurable," and the Canadian system of financing health care. (KIE abstract)
Alternatives; Economics; Employment; Federal Government; Government; Government Financing; Health; Health Care; Health Care Delivery; Health Insurance; Health Maintenance Organizations; Incentives; Indigents; Industry; Insurance; Justice; Legislation; National Health Insurance; Organizations; Patients; Physicians; Public Policy; Remuneration; Risk; State Government; Technology; Technology Assessment;
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A Consumer-Choice Health Plan for the 1990s: Universal Health Insurance in a System Designed to Promote Quality and Economy (First of Two Parts) Enthoven, Alain; Kronick, Richard (1989-01-05)The present financing system for health care in the United States is characterized as inflationary, unfair, and wasteful. An alternative strategy is proposed in which everyone not covered by some public program would ...