Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Potential public expenditures under managed competition

J F Sheils1, L S Lewin, R A Haught

  • 1Lewin-VHI, Fairfax, VA.

Health Affairs (Project Hope)
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Paying more and losing ground: how employer cost-shifting is eroding health coverage of working families.

International journal of health services : planning, administration, evaluation·1999
Same author

The estimated costs and savings of medical nutrition therapy: the Medicare population.

Journal of the American Dietetic Association·1999
Same author

Cost control: don't count employers out.

Health affairs (Project Hope)·1999
Same author

A paler shade of gray. Or: returning the physician to the center of health care.

Medical group management journal·1998
Same author

Why MSAs increase costs.

Health affairs (Project Hope)·1996
Same author

A single standard for measuring community benefit is needed.

Modern healthcare·1995
Same journal

National Health Expenditure Projections, 2025-34: Strong Utilization Growth Initially, Legislative Impacts Later.

Health affairs (Project Hope)·2026
Same journal

State Medicaid Programs Face Increased Spending On Medicare Premiums.

Health affairs (Project Hope)·2026
Same journal

Not enough time.

Health affairs (Project Hope)·2026
Same journal

Medicaid Tobacco And Nicotine Cessation Treatment Rates Remained Low, 2019-24.

Health affairs (Project Hope)·2026
Same journal

Third-Party Convener Firms And The Rise Of Geographically Dispersed, High-Earning Medicare ACOs.

Health affairs (Project Hope)·2026
Same journal

The Opacity Of Price Transparency.

Health affairs (Project Hope)·2026
See all related articles

Providing universal health coverage through managed competition could increase spending by 73.9% for the uninsured. This model estimates a net increase of $47.9 billion in 1993 health spending, including significant administrative savings.

Area of Science:

  • Health Economics
  • Public Health Policy
  • Healthcare Management

Background:

  • The uninsured population represents a significant public health challenge.
  • Managed competition models offer a framework for achieving universal health coverage.
  • Estimating the economic implications of such models is crucial for policy development.

Purpose of the Study:

  • To estimate the public cost of achieving universal health coverage using a managed competition model.
  • To determine the financial impact of premium subsidies and tax revenue effects.
  • To analyze potential savings from managed care and administrative efficiencies.

Main Methods:

  • Specification of a uniform health insurance benefit package.
  • Estimation of the lowest-cost premium based on well-managed Health Maintenance Organization (HMO) costs.

Related Experiment Videos

  • Calculation of premium subsidies and tax revenue adjustments.
  • Projection of total health spending changes for the uninsured population.

    • Main Results:

    • Extending coverage to the uninsured under this model is projected to increase their spending by 73.9%.
    • A net increase of $47.9 billion in 1993 health spending is estimated for the managed competition program.
    • Savings include $4.5 billion from increased managed care utilization and $11.2 billion in administrative cost reductions.

    Conclusions:

    • Managed competition can potentially achieve universal coverage with significant administrative and managed care savings.
    • Despite savings, the overall public cost of universal coverage under this model is substantial.
    • Policy decisions regarding universal coverage must carefully weigh costs against benefits and potential savings.