exam 3 (3) - Monday 11/26/07 Lec 4 Class 22- The rise of...

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Monday 11/26/07 Lec 4 – Class 22- The rise of managed care I. Rationing A. Economic rationing B. Implicit rationing C. Explicit rationing 1. cost raitioning 2. treatment rationing II. Economic and implicit rationing not enough A. economic rationing didn’t work B. implicit rationing did save some moneyh hmo reduced hospitalization (did out instead of in-patient procedures) reduce # days in hospital only do tertiary care in hospital C. implicit rationing not enough to control skyrocketing costs in US med care sys a. inflation rate for med is down to single digits, but cost still rising III. Free market model…why fail? A. Assumes consumers can decide what services to buy a. Assumes they have complete info and understand it all B. Assumes laws of supply and demand will a. Distrib goods and services to sickest (those are poorest, so no) b. Control costs C. assumes link btw costs and quality of services IV. Free mrkt model works well when buying a car A. customer easily collects info on car
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exam 3 (3) - Monday 11/26/07 Lec 4 Class 22- The rise of...

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