Bohlander G W
Employee Relat Law J. 1980 Summer;6(1):41-61.
The increasing influence of third parties on collective bargaining has continued to interest labor relations practitioners. The authors discusses the role of third-party payers and state regulatory agencies in labor-management negotiations at voluntary hospitals. Highlighted is the bargaining strategy adopted by negotiators when collective bargaining operates under a prospective rate-setting system. Also presented are the economic variables by which the payers influence hospital-union relationships and their effect on the outcomes of bargaining. The author describes the political context of health-care bargaining and the growing significance of cost control on hospital negotiations. He concludes that third-party payers cause health-care bargaining to change from a bilateral structure to a multilateral dimension.
第三方对集体谈判的影响日益增加，这一直吸引着劳动关系从业者。作者探讨了第三方支付者和国家监管机构在自愿医院劳资谈判中的作用。重点强调了在预期费率设定系统下集体谈判时谈判者所采用的讨价还价策略。还介绍了支付者影响医院与工会关系的经济变量及其对谈判结果的影响。作者描述了医疗保健谈判的政治背景以及成本控制在医院谈判中日益重要的意义。他得出结论，第三方支付者导致医疗保健谈判从双边结构转变为多边层面。
