A comparison of existing and alternative competitive bidding systems for indigent medical care

Jon B. Christianson, Kenneth R. Smith, Diane G. Hillman

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Competitive bidding is gaining in popularity as a means of containing costs in indigent medical care programs. The economic implications of the bidding systems employed by Arizona and California are discussed in light of the existing literature. Two alternative bidding approaches are proposed for consideration by policymakers-the sealed bid 'Vickrey' auction and the 'ascending Dutch' auction. While the incentives it contains for providers are not optimal, the ascending Dutch auction has the greatest potential for effective implementation since it accomodates the realities of public sector budget constraints and political pressures for direct control over program expenditures.

Original languageEnglish (US)
Pages (from-to)599-604
Number of pages6
JournalSocial Science and Medicine
Volume18
Issue number7
DOIs
StatePublished - 1984
Externally publishedYes

Fingerprint Dive into the research topics of 'A comparison of existing and alternative competitive bidding systems for indigent medical care'. Together they form a unique fingerprint.

  • Cite this