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dc.creatorEnthoven, Alain C.en
dc.creatorKronick, Richarden
dc.date.accessioned2015-05-05T18:34:07Zen
dc.date.available2015-05-05T18:34:07Zen
dc.date.created1991-05-15en
dc.date.issued1991-05-15en
dc.identifier10.1001/jama.265.19.2532en
dc.identifier.bibliographicCitationJAMA. 1991 May 15; 265(19): 2532-2536.en
dc.identifier.issn0098-7484en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Universal+Health+Insurance+through+Incentives+Reform&title=JAMA.++&volume=265&issue=19&pages=2532-2536&date=1991&au=Enthoven,+Alain+C.en
dc.identifier.urihttp://dx.doi.org/10.1001/jama.265.19.2532en
dc.identifier.urihttp://hdl.handle.net/10822/737033en
dc.description.abstractRoughly 35 million Americans have no health care coverage. Health care expenditures are out of control. The problems of access and cost are inextricably related. Important correctable causes include cost-unconscious demand, a system not organized for quality and economy, market failure, and public funds not distributed equitably or effectively to motivate widespread coverage. We propose Public Sponsor agencies to offer subsidized coverage to those otherwise uninsured, mandated employer-provided health insurance, premium contributions from all employers and employees, a limit on tax-free employer contributions to employee health insurance, and "managed competition." Our proposed new government revenues equal proposed new outlays. We believe our proposal will work because efficient managed care does exist and can provide satisfactory care for a cost far below that of the traditional fee-for-service third-party payment system. Presented with an opportunity to make an economically responsible choice, people choose value for money; the dynamic created by these individual choices will give providers strong incentives to render high quality, economical care. We believe that providers will respond to these incentives.en
dc.formatArticleen
dc.languageenen
dc.sourceBRL:KIE/33932en
dc.subjectAccountabilityen
dc.subjectEconomicsen
dc.subjectEmploymenten
dc.subjectGovernmenten
dc.subjectHealthen
dc.subjectHealth Careen
dc.subjectHealth Insuranceen
dc.subjectHealth Maintenance Organizationsen
dc.subjectIncentivesen
dc.subjectIndigentsen
dc.subjectInsuranceen
dc.subjectMandatory Programsen
dc.subjectManaged Careen
dc.subjectOrganizationsen
dc.subjectPhysiciansen
dc.subjectPublic Policyen
dc.subjectRemunerationen
dc.titleUniversal Health Insurance Through Incentives Reformen
dc.provenanceDigital citation created by the National Reference Center for Bioethics Literature at Georgetown University for the BIOETHICSLINE database, part of the Kennedy Institute of Ethics' Bioethics Information Retrieval Project funded by the United States National Library of Medicine.en
dc.provenanceDigital citation migrated from OpenText LiveLink Discovery Server database named NBIO hosted by the Bioethics Research Library to the DSpace collection BioethicsLine hosted by Georgetown University.en


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