ix, 266 pages : 23 cm

Includes bibliographical references (pages 241-258)

Containing health care costs: market competition versus a coordinated public policy -- Early attempts to control health care costs, 1950-1980 -- The Reagan administration and medicare hospital payment -- Medicaid: state approaches to cost containment for the poor -- The experience of state rate-setting agencies -- Corporate cost containment initiatives -- Health maintenance organizations -- The effectiveness of cost containment efforts in containing health care costs, 1950-1987 -- The impact of cost containment on hospital care to the poor and uninsured -- The impact of cost containment efforts on the quality of care -- Major lessons from the past experience -- Future directions for the health care system: a long-range policy proposal

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