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Health care coalitions: continuity and change.
Advances in Health Economics and Health Services Research
|December 11, 1987
Summary
Health care coalitions have expanded significantly, broadening membership and agendas to address complex issues. Future roles may include policy forums or benefit manager associations.
Area of Science:
- Health Services Research
- Public Health Policy
- Healthcare Management
Background:
- The landscape of healthcare delivery and financing has seen the rise of collaborative initiatives.
- Understanding the evolution and characteristics of these coalitions is crucial for healthcare policy and management.
Purpose of the Study:
- To analyze changes in healthcare coalitions between 1983-1986.
- To describe current coalition attributes and functions.
- To project future roles and developmental trajectories of healthcare coalitions.
Main Methods:
- Empirical analysis of operational healthcare coalitions.
- Examination of membership composition, service areas, and financial structures.
- Review of coalition agendas and program development.
Main Results:
- Significant growth in the number and geographic scope (state-wide) of healthcare coalitions.
- Expanded membership including providers, payers, and labor, alongside businesses.
- Increased financial stability through dues and professional staffing.
- Broadened focus beyond direct costs to liability, uncompensated care, and ethical issues.
Conclusions:
- Healthcare coalitions are maturing, becoming more financially secure and professionally staffed.
- They are increasingly tackling complex healthcare challenges, moving towards specialized problem-solving.
- Future evolution may lead to policy forums or associations for benefit managers and purchasers.