Document Detail

Health systems planning at a state level: New Jersey.
MedLine Citation:
PMID:  8135312     Owner:  NLM     Status:  MEDLINE    
In 1991, New Jersey undertook a planning effort to eliminate the proliferation of high cost, redundant services, downsize or eliminate underutilized services, develop primary and preventive services, and consolidate regional services. The recommendation to reduce the number of accredited hospitals created serious opposition from a variety of interests and the legislature subsequently enacted legislation prohibiting enactment of rules to implement the plan. More recently, New Jersey undertook new legislation to reform health insurance to require community rating, availability of individual and small group policies, eliminate restriction on pre-existing conditions, and promote competition. Legislation also provided for hospital care of indigents to be funded by a change in the unemployment insurance system. The latter was to replace a funding mechanism which was initially invalidated by a Federal Court. In future years, some of these funds will be shifted to a subsidized insurance program. There is already evidence that these reforms have resulted in increased competition among insurance companies, hospitals, and providers. Hopefully, this will contain costs without a decrement to quality. It should also increase the number of people with health coverage, although this does not provide for universal coverage.
N Featherstone
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  167     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1994 Feb 
Date Detail:
Created Date:  1994-04-21     Completed Date:  1994-04-21     Revised Date:  2000-12-18    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  241-3     Citation Subset:  AIM; IM    
Executive Director Office of Policy and Research, Department of Health, Trenton, NJ.
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MeSH Terms
Health Care Reform / economics,  legislation & jurisprudence,  organization & administration*
Health Planning Organizations
Insurance, Health / legislation & jurisprudence
New Jersey
Public Health Administration
Regional Health Planning
State Health Plans / legislation & jurisprudence,  organization & administration*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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