The growth and effects of hospital selective contracting.
Since the passage of California's ground-breaking PPO legislation in 1982, enrollment in managed-care systems has risen dramatically in California and throughout the United States. This article charts the growth of selective contracting and presents data on the effects of these programs on hospital costs.
Melnick
G A
GA
School of Public Health, University of California, Los Angeles.
Zwanziger
J
J
Verity-Guerra
A
A
D002140:California; D003284:Contract Services / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000458:organization & administration*; D005376:Financial Management / Q000458:organization & administration* / Q000639:trends*; D005377:Financial Management, Hospital / Q000639:trends*; D006279:Health Maintenance Organizations / Q000191:economics; D008329:Managed Care Programs / Q000458:organization & administration*; D011243:Preferred Provider Organizations / Q000191:economics; D012051:Reimbursement Mechanisms; D014481:United States