Wallack S S, Skwara K C, Cai J
Brandeis University, USA.
J Health Polit Policy Law. 1996 Fall;21(3):489-510. doi: 10.1215/03616878-21-3-489.
Neither rate regulation nor market competition alone is likely to contain health care spending in the long run. We need an approach to cost containment that can simultaneously address the major causes of rising health expenditures: higher prices, greater intensity, and new technologies. Whereas rate regulation and market competition have been viewed as alternative strategies, an innovative approach would include a rate-regulatory system that is compatible with an evolving competitive market. We discuss the Maryland hospital rate-setting system as an illustration of the compatibility of a regulatory approach within a competitive market. In addition, we consider the feasibility of expanding a hospital rate-setting system nationwide and to the nonhospital sectors.
从长远来看，单独的费率管制或市场竞争都不太可能控制医疗保健支出。我们需要一种成本控制方法，能够同时解决医疗支出上升的主要原因：更高的价格、更高的医疗强度和新技术。虽然费率管制和市场竞争被视为替代策略，但一种创新方法将包括一个与不断发展的竞争市场相兼容的费率监管系统。我们以马里兰州医院费率设定系统为例，说明监管方法在竞争市场中的兼容性。此外，我们还考虑了在全国范围内以及向非医院部门扩展医院费率设定系统的可行性。
