Holes in the Jackson Hole Approach to Health Care Reform
- Thomas Rice, PhD;
- E. Richard Brown, PhD;
- Roberta Wyn, MPH
Since this article does not have an abstract, we have provided the first 150 words of the full text.
Excerpt
MANAGED competition is synonymous with market-oriented health care reform. Those who coined the phrase, the Jackson Hole Group,1 have been identified, incorrectly, by the New York Times2 as the brain trust for the Clinton administration's reform proposal. Many medical industry groups have participated in developing the Jackson Hole version of managed competition, including major insurance companies, the American Medical Association, the Pharmaceutical Manufacturers Association, and large health maintenance organizations (HMOs). About the only significant interest groups that have not expressed support for the concept are those representing consumers. In this article, we critically assess the Jackson Hole Group's proposal to control health spending and provide access to quality health care.
Boiled down to its fundamentals, the Jackson Hole approach to managed competition requires three major changes in the US health insurance system. First, regional health insurance purchasing cooperatives (HIPCs) are formed to manage the marketplace for health care
Footnotes
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Reprint requests to Department of Health Services, UCLA School of Public Health, Los Angeles, CA 90024-1772 (Dr Rice).
