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

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

doi:10.1016/0277-9536(84)90075-3

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 journal › Article › peer-review

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 language	English (US)
Pages (from-to)	599-604
Number of pages	6
Journal	Social Science and Medicine
Volume	18
Issue number	7
DOIs	https://doi.org/10.1016/0277-9536(84)90075-3
State	Published - 1984
Externally published	Yes

Bibliographical note

Funding Information:
Ronald Vogel and the financial support of the John A. Hartford Foundation. New York City. NY and the Flinn Foundation. Phoenix. AZ.

Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.

Access

10.1016/0277-9536(84)90075-3

OpenUrl availability

Full text

Cite this

@article{c82447b8d0524914ab02320202b0f890,

title = "A comparison of existing and alternative competitive bidding systems for indigent medical care",

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.",

author = "Christianson, {Jon B.} and Smith, {Kenneth R.} and Hillman, {Diane G.}",

note = "Funding Information: Ronald Vogel and the financial support of the John A. Hartford Foundation. New York City. NY and the Flinn Foundation. Phoenix. AZ. Copyright: Copyright 2014 Elsevier B.V., All rights reserved.",

year = "1984",

doi = "10.1016/0277-9536(84)90075-3",

language = "English (US)",

volume = "18",

pages = "599--604",

journal = "Social Science and Medicine",

issn = "0277-9536",

publisher = "Elsevier Ltd",

number = "7",

}

TY - JOUR

T1 - A comparison of existing and alternative competitive bidding systems for indigent medical care

AU - Christianson, Jon B.

AU - Smith, Kenneth R.

AU - Hillman, Diane G.

N1 - Funding Information: Ronald Vogel and the financial support of the John A. Hartford Foundation. New York City. NY and the Flinn Foundation. Phoenix. AZ. Copyright: Copyright 2014 Elsevier B.V., All rights reserved.

PY - 1984

Y1 - 1984

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0021314512&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0021314512&partnerID=8YFLogxK

U2 - 10.1016/0277-9536(84)90075-3

DO - 10.1016/0277-9536(84)90075-3

M3 - Article

C2 - 6372105

AN - SCOPUS:0021314512

SN - 0277-9536

VL - 18

SP - 599

EP - 604

JO - Social Science and Medicine

JF - Social Science and Medicine

IS - 7

ER -

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

Abstract

Bibliographical note

Access

OpenUrl availability

Other files and links

Fingerprint

Cite this