TY - JOUR
T1 - Exporting the Buyers Health Care Action Group purchasing model
T2 - Lessons from other communities
AU - Christianson, Jon B.
AU - Feldman, Roger
PY - 2005
Y1 - 2005
N2 - When first implemented in Minneapolis and St. Paul, Minnesota, the Buyers Health Care Action Group's (BHCAG) purchasing approach received considerable attention as an employer-managed, consumer-driven health care model embodying many of the principles of managed competition. First BHCAG and, later, a for-profit management company attempted to export this model to other communities. Their efforts were met with resistance from local hospitals and, in many cases, apathy by employers who were expected to be supportive. This experience underscores several difficulties that appear to be inherent in implementing purchasing models based on competing care systems. It also, once again, suggests caution in drawing lessons from community-level experiments in purchasing health care.
AB - When first implemented in Minneapolis and St. Paul, Minnesota, the Buyers Health Care Action Group's (BHCAG) purchasing approach received considerable attention as an employer-managed, consumer-driven health care model embodying many of the principles of managed competition. First BHCAG and, later, a for-profit management company attempted to export this model to other communities. Their efforts were met with resistance from local hospitals and, in many cases, apathy by employers who were expected to be supportive. This experience underscores several difficulties that appear to be inherent in implementing purchasing models based on competing care systems. It also, once again, suggests caution in drawing lessons from community-level experiments in purchasing health care.
KW - Payment innovation
KW - System change
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U2 - 10.1111/j.0887-378X.2005.00339.x
DO - 10.1111/j.0887-378X.2005.00339.x
M3 - Review article
C2 - 15787957
AN - SCOPUS:16244369389
SN - 0887-378X
VL - 83
SP - 149
EP - 176
JO - Milbank Quarterly
JF - Milbank Quarterly
IS - 1
ER -