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GEN: cost containment is a failureFrom: art fougner, md (evsono@pipeline.com)Tue Jan 29 14:59:12 2002
This in today's ReutersHealth ( courtesy of http://www.pol.net) Cost containment strategy with "staying power" remains elusive, experts say Last Updated: 2002-01-28 16:29:56 EST (Reuters Health) NEW YORK (Reuters Health) - Not all the blame for America's rising healthcare tab should be pinned on managed care, according to executives at the Henry J. Kaiser Family Foundation. In a two-page commentary published last Wednesday, Kaiser Foundation President Drew E. Altman and Vice President Larry Levitt argue that "no approach" to healthcare cost containment deployed in the US over the past 35 years has had "a lasting impact." The analysis appears in an online issue of the health policy journal Health Affairs. Cost containment is re-emerging as a national issue, with payers facing double-digit rates of increase in health spending in 2001 and similar rates of inflation expected this year. In their analysis, Altman and Levitt briefly trace public and private sector efforts to reign in healthcare costs over the past three decades, beginning in the 1960s with the introduction of Medicare and Medicaid and ending in recent years with managed care. "From wage and price controls of the '70s, to voluntary efforts in the '80s, to managed care and the threat of health reform in the '90s, no approach to controlling healthcare costs has had staying power -- costs have always bounced back," Altman said. The co-authors illustrate the rebound effect by charting those strategies against annual inflation-adjusted changes in private health spending per capita from 1961 through 2001. "Managed care is not alone in its failure to solve the healthcare cost problem," they conclude. Given the history of the problem, the team cautions future healthcare reformers not to promise more than they can deliver. well folks - one issue they've NOT addressed - ( i wonder why) is TORT REFORM. wake up and stop the hemorrhage already. just my opinion - i could be wrong. art
-- art fougner, md ich bin ein New Yorker
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