title: State health services commissions German style.
abstract: After the health networks tied to HMOs are organized into oligopolies, and eventually fail to provide adequate access, social equity, and cost containment, public pressures will demand that state health services commissions be established to regulate market share, the scope of health services, reimbursement rates, and allowable profits. The German health system is multipayer, multitier, decentralized, self-governing, and allows providers and insurers to negotiate reimbursement rates without direct government involvement. Such a model would offer more competition among providers and less government regulation.
authors.affiliation: Bedford Health Associates, Inc., Asheville, NC, USA.
authors.forename: T P
authors.initials: TP
authors.lastname: Weil
mesh_terms: D016363:Antitrust Laws; D002204:Capitation Fee; D019058:Community Networks / Q000331:legislation & jurisprudence*; D004465:Economic Competition; D005161:Facility Regulation and Control; D005858:Germany; D006279:Health Maintenance Organizations / Q000331:legislation & jurisprudence* / Q000458:organization & administration / Q000592:standards / Q000706:statistics & numerical data; D006297:Health Services Accessibility; D009313:National Health Programs / Q000458:organization & administration; D018855:Single-Payer System; D013219:State Government; D014481:United States