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This work tracks the role of the states in US health care policy reform. It reviews the challenges faced by the states in dealing with rising costs and looks at their policy competence and role in managed care, whilst focusing on the outcomes of policy reform in states such as Hawaii and Oregon.
"A 1992 OECD study of health care reform in seven OECD countries concluded that costs were more easily contained in countries with centralised control over the financing and delivery of health services. But this study of a further seventeen OECD countries suggests that the strength of the determination of governments may exert even more influence on health expenditure restraint and success in the search for more effective and efficient approaches to delivering health care." (Back cover).

Pepper Commission Report

United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Commerce, Consumer Protection, and Competitiveness

Published: 1990

Total Pages: 184


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Some vols. include supplemental journals of "such proceedings of the sessions, as, during the time they were depending, were ordered to be kept secret, and respecting which the injunction of secrecy was afterwards taken off by the order of the House."