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Moving or mimicking the market? The ...

The University of North Carolina at Chapel Hill., Public Policy.

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Moving or mimicking the market? The opportunities and constraints of state public employee health plans.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Moving or mimicking the market? The opportunities and constraints of state public employee health plans./
作者:	McKethan, Aaron Nance.
面頁冊數:	212 p.
附註:	Adviser: Daniel Gitterman.
Contained By:	Dissertation Abstracts International68-11B.
標題:	Health Sciences, General. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3289139
ISBN:	9780549327288

Moving or mimicking the market? The opportunities and constraints of state public employee health plans.
McKethan, Aaron Nance.

Moving or mimicking the market? The opportunities and constraints of state public employee health plans. - 212 p.

Adviser: Daniel Gitterman.

Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2007.

State public employee health plans (PEHPs) are large employer-based health purchasers. Despite their size, little is known about the roles that PEHPs, as major purchasers, can or do play in the state health care environment. This dissertation explores two competing images of PEHPs to understand: (1) what accounts for different views on the roles that PEHP purchasers play within state health care systems, (2) how have different states leveraged the purchasing practices of PEHPs in an attempt to broadly influence aspects of state health care systems, and (3) what factors have characterized the experiences of these efforts.

ISBN: 9780549327288Subjects--Topical Terms:

1017817
Health Sciences, General.

Moving or mimicking the market? The opportunities and constraints of state public employee health plans.
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245 1 0 $a Moving or mimicking the market? The opportunities and constraints of state public employee health plans.
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502 $a Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2007.
520 $a State public employee health plans (PEHPs) are large employer-based health purchasers. Despite their size, little is known about the roles that PEHPs, as major purchasers, can or do play in the state health care environment. This dissertation explores two competing images of PEHPs to understand: (1) what accounts for different views on the roles that PEHP purchasers play within state health care systems, (2) how have different states leveraged the purchasing practices of PEHPs in an attempt to broadly influence aspects of state health care systems, and (3) what factors have characterized the experiences of these efforts.
520 $a This dissertation finds that PEHPs represent potentially important actors in very large and sophisticated state health care systems. However, the "purchasing power" of PEHPs is not universal and immutable and is highly contingent on key political and market influences that may likewise drive PEHP policy variation across other states. It remains puzzling that policy scholars have largely ignored the roles that PEHPs, as major purchasers, can and do play in the state health care environment. Based on this initial study of PEHP policymaking in two states, however, much more research is needed to fully understand the factors driving PEHP policymaking and the roles that PEHPs play in state health care systems.
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