Health Reform and Theories of Cost Control

Journal of Law, Medicine and Ethics 46 (4):846-856 (2018)

Abstract

Health care costs and affordability are critical issues to consumers. Just as we assess the coverage impacts of a health reform proposal, we should be able to evaluate how the plan will constrain health care costs: its theory of cost control. This essay provides a framework to assess health reform plans on their theories of cost control, identifying the key policy tools to constrain health care costs organized in a two-by-two matrix across the following dimensions: price vs. utilization and public vs. private payers. It then applies the framework to the Affordable Care Act and the Republican's 2017 legislative efforts to repeal and replace the ACA to identify their general theories of cost control, revealing on the plans' strengths, blind spots, and incoherence.

Download options

PhilArchive



    Upload a copy of this work     Papers currently archived: 72,743

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Analytics

Added to PP
2019-01-12

Downloads
10 (#907,205)

6 months
1 (#386,989)

Historical graph of downloads
How can I increase my downloads?

References found in this work

No references found.

Add more references

Citations of this work

Introduction: What We Talk About When We Talk About Health Reform.Lindsay F. Wiley - 2018 - Journal of Law, Medicine and Ethics 46 (4):822-824.

Add more citations

Similar books and articles

Futility, Autonomy, and Cost in End-of-Life Care.Mary Ann Baily - 2011 - Journal of Law, Medicine and Ethics 39 (2):172-182.
Consensus and Health Policy in Hungary.Tamas Angelus - 1992 - Journal of Medicine and Philosophy 17 (4):455-462.
Protect the Sick: Health Insurance Reform in One Easy Lesson.Deborah Stone - 2008 - Journal of Law, Medicine and Ethics 36 (4):652-659.
Unhealthy Health Care Costs.J. K. Shelton & J. M. Janosi - 1992 - Journal of Medicine and Philosophy 17 (1):7-19.
Universal Health Insurance: Will It Control the Cost of U.S. Health Care?William P. Gunnar - 2008 - Perspectives in Biology and Medicine 51 (2):285-291.
Just Caring: Health Reform and Health Care Rationing.Leonard M. Fleck - 1994 - Journal of Medicine and Philosophy 19 (5):435-443.