State health care expenditures under competition and regulation, 1980 through 1991

G.A. Melnick and J. Zwanziger

American Journal of Public Health, 1995, vol. 85, issue 10, 1391-1396

Abstract: Objectives. This paper examines health expenditure growth under two alternative policy approaches: competition-based managed care and state government rate regulation. Methods. Data are presented on cumulative growth in real per capita health expenditures between 1980 and 1991 so as to compare California, a state with a pro-competitive policy, with the US average and with four states with established regulation programs. Results. Real per capita expenditures for hospital services in the United States grew 54% between 1980 and 1991, while in California the growth was half the national rate, or 27%. Real per capita expenditures for physician services and drug expenditures in the United States grew by 82% and 65%, respectively, while in California these expenditures increased only 58% and 41%, respectively. California's growth rate was below that of all four regulatory states for all measures of health care cost inflation. Conclusions. On the basis of these findings, a properly structured competitive approach could play a significant role in controlling health expenditures in the United States.

Date: 1995
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:1995:85:10:1391-1396_2

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