Managed Competition versus Industrial Purchasing of Health Care among the Fortune 500
The theory of managed competition has found favor with many health policy analysts and academic economists alike. Three characteristics-consumer choice, defined contribution, and dissemination of information-signal managed competition strategy. By requiring private employers to provide their employe...
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| Veröffentlicht in: | Journal of health politics, policy and law policy and law, 2002-02, Vol.27 (1), p.5-30 |
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| container_title | Journal of health politics, policy and law |
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| creator | Maxwell, James Temin, Peter |
| description | The theory of managed competition has found favor with many health policy analysts and academic economists alike. Three characteristics-consumer choice, defined contribution, and dissemination of information-signal managed competition strategy. By requiring private employers to provide their employees with a choice of health carriers, a fixed-dollar strategy (defined contribution), and quality information to make appropriate choices among carriers, managed competition offers to remedy imperfections in both the consumer and provider sides of the market for health insurance. In an extensive survey of health care purchasing practices among Fortune 500 companies we found that major companies are
using the managed competition approach to health care purchasing. Instead, most of the companies surveyed are purchasing health care in the same way as they do other inputs to production-a pattern we call industrial purchasing. |
| doi_str_mv | 10.1215/03616878-27-1-5 |
| format | Article |
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using the managed competition approach to health care purchasing. Instead, most of the companies surveyed are purchasing health care in the same way as they do other inputs to production-a pattern we call industrial purchasing.</description><subject>Big business</subject><subject>Business</subject><subject>Community Participation - economics</subject><subject>Community Participation - utilization</subject><subject>Competition</subject><subject>Competitive Bidding - economics</subject><subject>Competitive Bidding - utilization</subject><subject>Consumers</subject><subject>Corporate purchasing</subject><subject>Cost control</subject><subject>Decision Making</subject><subject>Defined contribution plans</subject><subject>Employers</subject><subject>Group Purchasing - economics</subject><subject>Group Purchasing - utilization</subject><subject>Health Benefit Plans, Employee - economics</subject><subject>Health Benefit Plans, Employee - organization & administration</subject><subject>Health care</subject><subject>Health care expenditures</subject><subject>Health care policy</subject><subject>Health Care Services</subject><subject>Health Care Surveys</subject><subject>Health Insurance</subject><subject>Health Policy</subject><subject>Industry - economics</subject><subject>Industry - statistics & numerical data</subject><subject>Information</subject><subject>Information dissemination</subject><subject>Information Services</subject><subject>Managed care</subject><subject>Managed competition</subject><subject>Managed Competition - economics</subject><subject>Managed Competition - utilization</subject><subject>Medicine and Health</subject><subject>Moral hazard</subject><subject>Policy studies</subject><subject>Political Science</subject><subject>Politics</subject><subject>Polls & surveys</subject><subject>Product choice</subject><subject>Public Health and Health Policy</subject><subject>Public Policy</subject><subject>Purchasing</subject><subject>Quality Indicators, Health Care</subject><subject>State employees</subject><subject>Statistical analysis</subject><subject>Theory</subject><subject>United States</subject><subject>Welfare</subject><issn>0361-6878</issn><issn>1527-1927</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><sourceid>7UB</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNkk2LFDEQhoMo7rh69ibBg7d2U0nno48yuO7CioIueAuZ7uqdHrs7Yz4E_71pZnRFkDGXhKrnrSoqLyHPgb0GDvKCCQXKaFNxXUElH5AVyOXZcP2QrJZstaTPyJMYd6wcAeoxOQNoal5ztiK3793s7rCjaz_tMQ1p8DP9jiHmSK_nLscUBjfSjzm0WxeH-Y76nl6hG9OWrl1A6iZfgmmL9NKHlGekkrGn5FHvxojPjvc5ub18-3l9Vd18eHe9fnNTtVLxVAnQG1PrjjOFaLgTaLoWdMeUARSCGS2k6qEzCqF3G9P1jmvRyL52vIFaiXPy6lB3H_y3jDHZaYgtjqOb0edoNSjeKG1OgmWLkgPo_wBr1ih5uqJstFzGPwmKpvxkXYsCvvwL3Pkc5rI_ywWXunBL24sD1AYfY8De7sMwufDDArOLJewvS1iuLVhZFC-OZfNmwu6eP3qgAOJ33x22acoR71uDVFLYT4utFlcxDsVF8ktR8YOqy18x7wPG-IfoH7P8BJ6tzag</recordid><startdate>20020201</startdate><enddate>20020201</enddate><creator>Maxwell, James</creator><creator>Temin, Peter</creator><general>Duke University Press</general><general>Duke University Press, NC & IL</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TQ</scope><scope>7U3</scope><scope>7U4</scope><scope>7UB</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DHY</scope><scope>DON</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20020201</creationdate><title>Managed Competition versus Industrial Purchasing of Health Care among the Fortune 500</title><author>Maxwell, James ; Temin, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c562t-317b847d206ee82a3e8dc17d0681e33087356f1d86e1fab8dfa27395f4a291463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Big business</topic><topic>Business</topic><topic>Community Participation - economics</topic><topic>Community Participation - utilization</topic><topic>Competition</topic><topic>Competitive Bidding - economics</topic><topic>Competitive Bidding - utilization</topic><topic>Consumers</topic><topic>Corporate purchasing</topic><topic>Cost control</topic><topic>Decision Making</topic><topic>Defined contribution plans</topic><topic>Employers</topic><topic>Group Purchasing - economics</topic><topic>Group Purchasing - utilization</topic><topic>Health Benefit Plans, Employee - economics</topic><topic>Health Benefit Plans, Employee - organization & administration</topic><topic>Health care</topic><topic>Health care expenditures</topic><topic>Health care policy</topic><topic>Health Care Services</topic><topic>Health Care Surveys</topic><topic>Health Insurance</topic><topic>Health Policy</topic><topic>Industry - economics</topic><topic>Industry - statistics & numerical data</topic><topic>Information</topic><topic>Information dissemination</topic><topic>Information Services</topic><topic>Managed care</topic><topic>Managed competition</topic><topic>Managed Competition - economics</topic><topic>Managed Competition - utilization</topic><topic>Medicine and Health</topic><topic>Moral hazard</topic><topic>Policy studies</topic><topic>Political Science</topic><topic>Politics</topic><topic>Polls & surveys</topic><topic>Product choice</topic><topic>Public Health and Health Policy</topic><topic>Public Policy</topic><topic>Purchasing</topic><topic>Quality Indicators, Health Care</topic><topic>State employees</topic><topic>Statistical analysis</topic><topic>Theory</topic><topic>United States</topic><topic>Welfare</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maxwell, James</creatorcontrib><creatorcontrib>Temin, Peter</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PAIS Index</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Worldwide Political Science Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of health politics, policy and law</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maxwell, James</au><au>Temin, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Managed Competition versus Industrial Purchasing of Health Care among the Fortune 500</atitle><jtitle>Journal of health politics, policy and law</jtitle><addtitle>J Health Polit Policy Law</addtitle><date>2002-02-01</date><risdate>2002</risdate><volume>27</volume><issue>1</issue><spage>5</spage><epage>30</epage><pages>5-30</pages><issn>0361-6878</issn><eissn>1527-1927</eissn><coden>JHPLDN</coden><abstract>The theory of managed competition has found favor with many health policy analysts and academic economists alike. 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| language | eng |
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| source | MEDLINE; Political Science Complete; PAIS Index; Worldwide Political Science Abstracts; Business Source Complete; Sociological Abstracts |
| subjects | Big business Business Community Participation - economics Community Participation - utilization Competition Competitive Bidding - economics Competitive Bidding - utilization Consumers Corporate purchasing Cost control Decision Making Defined contribution plans Employers Group Purchasing - economics Group Purchasing - utilization Health Benefit Plans, Employee - economics Health Benefit Plans, Employee - organization & administration Health care Health care expenditures Health care policy Health Care Services Health Care Surveys Health Insurance Health Policy Industry - economics Industry - statistics & numerical data Information Information dissemination Information Services Managed care Managed competition Managed Competition - economics Managed Competition - utilization Medicine and Health Moral hazard Policy studies Political Science Politics Polls & surveys Product choice Public Health and Health Policy Public Policy Purchasing Quality Indicators, Health Care State employees Statistical analysis Theory United States Welfare |
| title | Managed Competition versus Industrial Purchasing of Health Care among the Fortune 500 |
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