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Related Experiment Videos

Prospective payment in perspective.

H M Sapolsky

    Journal of Health Politics, Policy and Law
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Prospective payment systems may not improve healthcare due to conflicting goals of cost control, access, and quality. Implementing effective cost containment requires robust public administration, which is currently lacking.

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    Area of Science:

    • Health economics
    • Public policy
    • Healthcare management

    Background:

    • Healthcare systems face persistent challenges with inefficiency and escalating costs.
    • Prospective payment models are proposed as a solution to these systemic issues.
    • Existing healthcare policies often struggle to balance cost containment with quality and access objectives.

    Purpose of the Study:

    • To evaluate the potential effectiveness of prospective payment systems in addressing healthcare inefficiencies and costs.
    • To analyze the inherent conflicts between cost control, access, and quality in healthcare.
    • To assess the feasibility of implementing robust cost containment strategies in the American healthcare context.

    Main Methods:

    • Comparative policy analysis, examining incentive-based models.

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  • Review of healthcare system performance metrics related to cost, access, and quality.
  • Case study analysis comparing healthcare policy with defense sector experiences.

    • Main Results:

    • Prospective payment systems are unlikely to deliver promised improvements due to inherent goal conflicts.
    • Efforts to control healthcare costs face significant resistance and threaten system quality and access.
    • Effective cost containment necessitates a strong civil service, which is a current limitation.

    Conclusions:

    • Prospective payment systems are not a panacea for healthcare system issues.
    • Achieving significant cost containment requires addressing fundamental issues in public administration and policy design.
    • The search for simple solutions to complex healthcare problems is ongoing but ultimately futile.