The ideal market structure would give each medical care organization effective incentives to produce maximum value for money for enrolled subscribers.
It should be based on integrated financing and delivery systems-partnerships that link doctors, hospitals and insurers-with per capita prepayment, with providers at risk for cost of care and cost of poor quality, publicly accountable for quality and per capita costs.
The ideal market structure must be managed by active intelligent collective purchasing agents, called sponsors, that contract with health care systems and set the rules of competition.
Sponsors structure and manage the enrollment process ; they create price-elastic demand ; they manage risk selection ; and they create and administer equitable rules of coverage.
Mots-clés Pascal : Assurance maladie, Economie santé, Système santé, Etats Unis, Tiers payant, Sponsor, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Health insurance, Health economy, Health system, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0680472
Code Inist : 002B30A01B. Création : 09/06/1995.