Abstracts of State Legislated Hospital Cost-Containment Programs

Effects of Selected Cost-Containment Efforts: 1971-1993

In this article, we review five health care cost-containment efforts from 1971 to the present and summarize key research findings on the effects of each on cost, quality, and access. These efforts include the Nixon Economic Stabilization Program (ESP), Carter-era hospital cost-containment efforts, Medicare hospital and physician payment, and State hospital ratesetting programs. The purpose of t...

Generic Drug Cost Containment in Medicaid: Lessons from Five State MAC Programs

In Medicaid, generic drug cost containment revolves around two programs: the Federal upper limit (FUL) program and State maximum allowable cost (MAC) programs. This article analyzes MAC programs in five States and finds considerable variation between these programs and the FUL program in both size and pricing aggressiveness. We conclude that expansion of existing MAC programs and creation of ne...

Shared decision-making as a cost-containment strategy: US physician reactions from a cross-sectional survey

OBJECTIVE To assess US physicians' attitudes towards using shared decision-making (SDM) to achieve cost containment. DESIGN Cross-sectional mailed survey. SETTING US medical practice. PARTICIPANTS 3897 physicians were randomly selected from the AMA Physician Masterfile. Of these, 2556 completed the survey. MAIN OUTCOME MEASURES Level of enthusiasm for "Promoting better conversations wit...

Regulatory regimes and state cost containment programs.

Changes in the Effectiveness of State Medicaid Drug Program Cost-Containment Policies Following OBRA 1990

Containment of Medicaid pharmaceutical drug program costs continues to be an important policy problem. Perhaps the most important policy of the past two decades with significant implications for Medicaid pharmaceutical drug programs was the Omnibus Budget Reconciliation Act (OBRA) of 1990. This study analyzes Medicaid drug spending data from 1985 to 1997 to determine how OBRA 1990 influenced th...