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Welfare Reform on the Web (August 1999): Health Care - Overseas

IMPULSES TO CONVERGE: LESSONS FROM EUROPE

C. Howorth
British Journal of Health Care Management, vol. 5, 1999, p. 179-182

Compares the UK and German health care systems. These systems represent, at least superficially, opposite approaches to the provision of health care in the EU. The UK represents the tax based Beveridge universal (and traditionally unitary) model and Germany represents the social insurance based Bismarck model (incorporating a choice of purchaser and purchasing sector for some of the population).

MARKET LIMITS IN HEALTH REFORM: PUBLIC SUCCESS, PRIVATE FAILURE

D. Drache and T. Sullivan (editors)
London: Routledge, 1999.

Explores the deep-rooted tensions between publicly funded health care systems and the dynamics of markets in the delivery of privately funded health care. Lays bare the limitations of market-led health reforms and argues for the indispensable role of a vibrant public authority in the renewal of modern health care systems. Examines private-public conflicts in health policy, including cost containment and privatisation strategies in an international perspective, the virus of consumerism and the role of business in setting the agenda for health care reform.

PAKISTAN STUDENTS GET HEALTH COVER

F. Bokhari
Financial Times, May 6th 1999, p. 6

Pakistan's private Hamdard university has introduced the country's first medical insurance plan for its students and their families in a unique step to combat the rising costs of private medical care.

PRICE COMPETITION AND HOSPITAL COST GROWTH IN THE UNITED STATES

(1989-1994)

A. Bamezai and others
Health Economics, vol. 8, 1999, p. 233-243

Using a national database, the authors demonstrate that health maintenance organisations (HMOs) and preferred provider organisations (PPOs) have significantly restrained cost growth among hospitals located in competitive hospital markets, but not in hospitals located in relatively concentrated markets. In relative terms, HMOs are shown to have contained cost growth more effectively than PPOs.

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