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Cost Control after the ACA

Public administration review, 2013-09, Vol.73 (s1), p.S24-S33 [Peer Reviewed Journal]

2013 by The American Society for Public Administration ;Copyright Blackwell Publishing Ltd. Sep/Oct 2013 ;ISSN: 0033-3352 ;EISSN: 1540-6210 ;DOI: 10.1111/puar.12108 ;CODEN: PBARBM

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Title:
Cost Control after the ACA
Author: White, Joseph
Subjects: Cost analysis ; Cost control ; Fees ; Government spending ; Health care costs ; Health care expenditures ; Health care payments ; Health insurance ; Implementation ; Income ; Insurance providers ; Medicare ; Patient Protection & Affordable Care Act 2010-US ; Payments ; Perspective ; Physicians ; Price regulations ; Prices ; Public administration ; Public expenditure ; Public management ; Public services
Is Part Of: Public administration review, 2013-09, Vol.73 (s1), p.S24-S33
Description: This Perspective explains why implementation analysis of the cost control provisions within the Patient Protection and Affordable Care Act is not particuhrly useful. These provisions are either relatively straightforward or, more commonly, so flawed that successful implementation is highly unlikely. The analysis shows that effective and equitable cost control will require coordinating payers to create all-payer fee setting. This poses significant challenges but has been implemented relatively successfully in many countries. The balance of the article uses experience with all-payer systems in other countries and fee setting within Medicare to identify key choices within any allpayer system. It highlights the importance of simplifying considerations and focusing on outcomes—the incomes of providers and total spending—rather than engaging in a hopeless search for technocratic payment "accuracy."
Publisher: Hoboken, USA: Wiley Subscription Services, Inc
Language: English
Identifier: ISSN: 0033-3352
EISSN: 1540-6210
DOI: 10.1111/puar.12108
CODEN: PBARBM
Source: Alma/SFX Local Collection

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Cost Control after the ACA

2013 by The American Society for Public Administration ;Copyright Blackwell Publishing Ltd. Sep/Oct 2013 ;ISSN: 0033-3352 ;EISSN: 1540-6210 ;DOI: 10.1111/puar.12108 ;CODEN: PBARBM

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