Competitive Reform in Health Care: The Vulnerable Revolution

35 Pages Posted: 2 Apr 2009  

Thomas L. Greaney

Saint Louis University School of Law

Date Written: 1987

Abstract

This article, written at the dawn of the era of "competitive reform" in health care examines the case and prospects for the introduction of competition in health care delivery and financing. It observes the failures of the ancienne regime of fee for service payment and professional sovereignty and discusses the benefits of market-oriented policy. Its contribution, still salient today, is the lesson that competition cannot succeed without regulation. It identifies legislative, professional, and cultural hurdles to effective implementation of competitive norms and policies that have impeded the success of competition policy in health care.

Keywords: antirust, health law, managed care, fee for service, hospital mergers, health care reform, FTC, physicians, competition policy, market failure

Suggested Citation

Greaney, Thomas L., Competitive Reform in Health Care: The Vulnerable Revolution (1987). Yale Journal on Regulation, Vol. 5, p. 179, 1987. Available at SSRN: https://ssrn.com/abstract=1341132

Thomas L. Greaney (Contact Author)

Saint Louis University School of Law ( email )

100 N. Tucker Blvd.
St. Louis, MO 63101
United States

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