The Cost Control paper argues that health care reform proposals without serious cost controls will fail both as policy and politically. Most of the agenda being discussed in current debate has already been judged by the Congressional Budget Office (CBO 2008) as unlikely to yield significant savings within the necessary time frame. That paper reviews both the compelling reasons for doubt about r...

in recent years, the main focus of health sector reforms in iran is the family physician and referral system plan. fundamental changes in the goals and strategies, has increased the necessity of the need to reform the organizational structure. this study tries to review and summarize all cases about the organizational structure of iran and its challenges in primary health care system.this study...

Currently, much of the discussion centers on possibilities for insurance mandates, a public insurance plan modeled after Medicare, and the methods that will be used to control costs.1 Many other issues will have to be addressed, including physician payment reform, the future of Medicare Advantage, providers’ participation in public programs, the role of expansions of Medicaid, and of course, th...

n announcing his health reform plan on September 22, 1993, President Bill Clinton spoke of six overarching principles: securi ty , savings, qual i ty , implicity, choice, and responsibility. You can be sure that all these key words have tested well in polling and focus groups. Throughout the coming months, political language will be critical in shaping the debate. Since healthcare reform is suc...

Single-payer health care systems consist of publicly financed insurance that provides basic benefits for all citizens. The design is intended to achieve universal coverage and allow greater cost control. Many states have attempted to reform their systems around single-payer principles, but none succeeded until Vermont enacted a law in May 2011. In this article we describe how our team developed...

North Carolina's Medicaid reform plan legislation will continue the state's behavioral health care system of local management entities and managed care organizations for 4 years after the implementation of the 1115 waiver. Policymakers have options, including staying the course, but they must be deliberate and thoughtful in their decisions.

Support for reform is at its highest level, but criticism of President Bill Clinton's plan is widespread. Nevertheless, the core components of the Clinton plan should be supported. These include (1) building on existing employer-based health insurance with a mandate that employers offer coverage to all workers and pay a substantial portion of the premium; (2) requiring that coverage be universa...

The health care system in Pakistan is beset with numerous problems--structural fragmentation, gender insensitivity, resource scarcity, inefficiency and lack of functional specificity and accessibility. Faced with a precarious economic situation characterized by heavy external debt and faltering productivity, Pakistan's room to maneuver with health sector reform is quite limited. Although the re...