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The Cincinnati initiative.

D A Manus1, R J Strub, T R Werner

  • 1Marketing Communications Iameter Inc., San Mateo, CA.

Managed Care Quarterly
|December 4, 1994
PubMed
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Healthcare purchaser coalitions are driving significant changes in care delivery. Cincinnati

Area of Science:

  • Health Services Research
  • Healthcare Management
  • Health Economics

Background:

  • Purchaser coalitions are emerging nationwide to leverage buying power for healthcare reform.
  • Local collaborative initiatives between healthcare purchasers and providers can significantly impact healthcare markets.

Purpose of the Study:

  • To explore the development and initial outcomes of the Cincinnati healthcare initiative.
  • To analyze the impact of a collaborative purchaser-provider effort on local healthcare delivery and costs.

Main Methods:

  • Analysis of data from the first year of the Cincinnati initiative.
  • Observational study of voluntary changes in hospital and physician practice patterns.

Main Results:

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  • Significant overall decrease in average length of stay (LOS).
  • Return to single-digit inflation in healthcare costs.
  • Observable shifts in provider practice patterns attributed to the initiative.

    • Conclusions:

    • Voluntary changes in hospital and physician practices can yield substantial improvements in healthcare delivery.
    • Collaborative efforts between purchasers and providers can achieve positive market changes without coercive measures.
    • The Cincinnati initiative demonstrates a successful model for healthcare reform through cooperation.