Unchecked provider clout in California foreshadows challenges to health reform

Health Affairs

Volumn 29, Issue 4, 2010, Pages 699-705

  Berenson, Robert A ^a   Ginsburg, Paul B ^b   Kemper, Nicole ^b  

^a URBAN INSTITUTE   (United States)

^b CENTER FOR STUDYING HEALTH SYSTEM CHANGE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; FINANCIAL MANAGEMENT; HEALTH CARE ACCESS; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH MAINTENANCE ORGANIZATION; HOSPITAL; PATIENT CARE; PHYSICIAN; PRIVATE HEALTH INSURANCE; UNITED STATES;

ACCOUNTABLE CARE ORGANIZATIONS; CALIFORNIA; DELIVERY OF HEALTH CARE, INTEGRATED; FOR-PROFIT INSURANCE PLANS; GOVERNMENT REGULATION; HEALTH CARE REFORM; HEALTH SERVICES ACCESSIBILITY; HOSPITAL ADMINISTRATION; HUMANS; INSURANCE CARRIERS; INSURANCE, HEALTH; MANAGED CARE PROGRAMS; PRIVATE SECTOR;

EID: 77958058292     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2009.0715     Document Type: Article

References (18)

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9. Providers are able to gain leverage in contract negotiations over many "terms and conditions," including prices.
10. California HMOs often contract with medical groups or IPAs so that the physician organizations assume risk for use of professional services and the responsibility for control of usage is delegated to them.
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