TY - JOUR
T1 - Competitive bidding as a cost-containment strategy for indigent medical care
T2 - The implementation experience in Arizona
AU - Hillmann, D. G.
AU - Christianson, J. B.
PY - 1984
Y1 - 1984
N2 - The State of Arizona recently instituted a competitive bidding process, in order to establish a health services delivery system for indigents and to determine capitated reimbursement levels for providers in that system. This article describes the implementation of that bidding process, and identifies factors which had a significant impact on the implementation experience. Implementation of competitive bidding in Arizona encountered problems which appear to be common to the implementation of innovative public programs. It also uncovered political liabilities that suggest that effective implementation of competitive bidding for indigent medical care contracts in other environments will be difficult, even if technical implementation problems can be overcome.
AB - The State of Arizona recently instituted a competitive bidding process, in order to establish a health services delivery system for indigents and to determine capitated reimbursement levels for providers in that system. This article describes the implementation of that bidding process, and identifies factors which had a significant impact on the implementation experience. Implementation of competitive bidding in Arizona encountered problems which appear to be common to the implementation of innovative public programs. It also uncovered political liabilities that suggest that effective implementation of competitive bidding for indigent medical care contracts in other environments will be difficult, even if technical implementation problems can be overcome.
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U2 - 10.1215/03616878-9-3-427
DO - 10.1215/03616878-9-3-427
M3 - Article
C2 - 6392406
AN - SCOPUS:0021714590
SN - 0361-6878
VL - 9
SP - 427
EP - 451
JO - Journal of health politics, policy and law
JF - Journal of health politics, policy and law
IS - 3
ER -