Journal article
The Case of Health Systems Agencies: Some Correlates of Health Policy in the States
State & local government review, Vol.23(1), pp.13-16
01/01/1991
Abstract
In the 1970s, one answer to the rising cost of health care was Health Systems Agencies (HSAs), local committees of health care providers and consumers with responsibility for health planning and for reviewing certificate-of-need applications of providers concerning the purchase of new equipment and facilities. Limited success in cutting costs and the Reagan administration's desire to shift federal responsibilities to the states led to a change in national policy in 1981, leaving the states free to eliminate HSAs. Some states abolished them, but some others retained them. Some of those states keeping HSAs saw value in their planning and coordinating activities, while other hoped for cost containment. The research reported here explores why some states abandoned HSAs and others retained them. Analysis shows two variables to be important: the strength of the medical lobby and the cost of health care in the state. The stronger a state's medical lobby, the more likely the state was to abandon HSAs, and the higher a state's health care cost, the more likely the state was to retain HSAs.
Details
- Title: Subtitle
- The Case of Health Systems Agencies: Some Correlates of Health Policy in the States
- Creators
- Keith MuellerJohn Comer
- Resource Type
- Journal article
- Publication Details
- State & local government review, Vol.23(1), pp.13-16
- Publisher
- Carl Vinson Institute of Government, University of Georgia
- ISSN
- 0160-323X
- eISSN
- 1943-3409
- Language
- English
- Date published
- 01/01/1991
- Academic Unit
- Health Management and Policy; Public Policy Center (Archive)
- Record Identifier
- 9984221644102771
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