Stanford University's experience with managed competition

Health Affairs

Volumn 23, Issue 6, 2004, Pages 136-140

  Enthoven, Alain C ^a   Talbott, Brian ^b  

^a STANFORD UNIVERSITY   (United States)

^b Human Resources   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HEALTH CARE; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH INSURANCE; HEALTH MAINTENANCE ORGANIZATION; HEALTH PROGRAM; HUMAN; MEDICAL SERVICE; REVIEW; RISK ASSESSMENT;

CALIFORNIA; DECISION MAKING, ORGANIZATIONAL; HEALTH BENEFIT PLANS, EMPLOYEE; HEALTH MAINTENANCE ORGANIZATIONS; MANAGED COMPETITION; MODELS, ORGANIZATIONAL; UNIVERSITIES;

EID: 8844252364     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.23.6.136     Document Type: Review

References (9)

1. A.C. Enthoven, "History and Principles of Managed Competition," Health Affairs 12 Supp. (1993): 24-48. Alain Enthoven was chairman of the Stanford Committee on Faculty/Staff Benefits at the time this plan was adopted.
2. J.C. Franklin, "Stanford University: A Prudent Buyer Case Study of Cost Efficiency and Quality of Care," in International Anesthesiology Clinics, Health Economics, and Practice Management in Anesthesia, ed. A. Macario and A.C. Lang (Boston: Little, Brown and Company, 1995), 49-68.
3. J.A. Stewart "Appendix: The Origins of Prepaid Group Practice in the United States," in Toward a Twenty-first Century Health System: The Contributions and Promise of Prepaid Group Practice, ed. A.C. Enthoven and L.A. Tollen (San Francisco: Jossey-Bass, 2004), 265-274.
4. More information about DxCG is available at www.dxcg.com. For a basic discussion of the problems of adverse selection, see D.M. Cutler and R.J. Zeckhauser, "Adverse Selection in Health Insurance," NBER Working Paper no. w6107 (Cambridge, Mass.: National Bureau of Economic Research, July 1997).
5. More information about DxCG is available at www.dxcg.com. For a basic discussion of the problems of adverse selection, see D.M. Cutler and R.J. Zeckhauser, "Adverse Selection in Health Insurance," NBER Working Paper no. w6107 (Cambridge, Mass.: National Bureau of Economic Research, July 1997).
6. The California Public Employees Retirement System (CalPERS) recently cut back the number of competing HMOs to three, offered with two PPOs, which is too few for best results in this large market.
7. J. Maxwell and P. Temin, "Managed Competition versus Industrial Purchasing of Health Care among the Fortune 500," Journal of Health Politics, Policy and Law 27, no. 1 (2002): 5-30.
8. A.C. Enthoven, "Employment-Based Health Insurance Is Failing: Now What?" Health Affairs, 28 May 2003, content.healthaffairs.org/cgi/content/ abstract/hlthaff.w3.237 (12 August 2004).
9. Enthoven and Tollen, eds., Toward a Twenty-first Century Health System. Typically, 80 percent of CalPERS enrollees choose HMOs rather than PPOs.