Document Detail

Who really wants price competition in Medicare managed care?
MedLine Citation:
PMID:  10992649     Owner:  NLM     Status:  MEDLINE    
There is much policy talk about making Medicare more competitive, like private markets. But when reform proposals near implementation, local opponents of competition are often able to stop reform experiments. This paper reports on one recent example, the Competitive Pricing Advisory Committee, created by the 1997 Balanced Budget Act (BBA) to bring competitive bidding to Medicare + Choice plans. After design and site-selection choices were announced, members representing local interests were able to delay and perhaps kill competitive bidding before it could start, once again. A public report of this story may save future market-based Medicare reforms from a similar fate.
L M Nichols; R D Reischauer
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Health affairs (Project Hope)     Volume:  19     ISSN:  0278-2715     ISO Abbreviation:  Health Aff (Millwood)     Publication Date:    2000 Sep-Oct
Date Detail:
Created Date:  2000-10-06     Completed Date:  2000-10-06     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8303128     Medline TA:  Health Aff (Millwood)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  30-43     Citation Subset:  IM    
Urban Institute, Washington, D.C., USA.
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MeSH Terms
Competitive Medical Plans / organization & administration*
Consumer Participation
Efficiency, Organizational
Feasibility Studies
Health Care Reform / organization & administration*
Health Services Research / organization & administration
Managed Competition*
Medicare Part C / organization & administration*
Prospective Payment System / organization & administration*
United States

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

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