DeVore S, Roberts J
Ernst & Young, Charlotte, NC.
Med Interface. 1994 Mar;7(3):131-4.
The Clinton plan's emphasis on market-driven managed competition, coupled with ever-increasing Medicaid costs, has placed the U.S. health care system on the threshold of significant change. By limiting the growth of premiums, the plan will encourage insurers to negotiate managed care contracts with providers. In this article, the authors discuss how individual states, faced with increasing costs and stretched budgets, have attempted to administer Medicaid programs within a managed care system.
克林顿计划对市场驱动型管理竞争的强调，再加上医疗补助费用的不断增加，已使美国医疗保健系统处于重大变革的边缘。通过限制保费增长，该计划将鼓励保险公司与医疗服务提供者协商管理式医疗合同。在本文中，作者讨论了面对成本上升和预算紧张的各个州，是如何尝试在管理式医疗系统内管理医疗补助计划的。
