Maciejewski M L, Dowd B E, Feldman R
School of Public Health, University of Minnesota, Minneapolis, USA.
Manag Care Q. 1997 Summer;5(3):11-9.
State governments play many roles in local health insurance markets. This paper focuses on the role of states as employers. As managed care and health care costs continue to grow, state governments engage in a variety of health insurance purchasing practices that influence the structure of health benefits offered to state employees. Descriptive analysis shows that many states have adopted managed competition to some degree, as well as traditional cost-reducing measures such as utilization review and self insurance. The experience of state governments can provide a benchmark for other public and private employers.
州政府在地方医疗保险市场中扮演着多种角色。本文聚焦于州政府作为雇主的角色。随着管理式医疗和医疗成本持续增长，州政府采取了多种医疗保险采购做法，这些做法会影响向州政府雇员提供的健康福利结构。描述性分析表明，许多州在一定程度上采用了管理式竞争，以及诸如利用审查和自我保险等传统成本削减措施。州政府的经验可为其他公共和私人雇主提供一个基准。
