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A Blended Strategy Using Competitive and Regulatory Models

Weil, Thomas P.; Battistella, Roger M.

Health Care Management Review: January 1998 - Volume 23 - Issue 1 - p 37-45

Whether the health field in the United States should have more competition or more government regulation is now at the center of the public policy debate. After examining the market-driven and regulatory models to constrain cost and improve access to care, this article argues against supporting either extreme and instead favors a blended approach where the emphasis is on practicality rather than ideological exactness. Such a mixed strategy is predicted to eventually gain acceptance, legitimacy, and momentum, since such a hybrid design is more consistent with America's cultural and political values.

Thomas P. Weil, Ph.D., is President, Bedford Health Associates, Inc., Management Consultants for Health & Hospital Services, Asheville, North Carolina.

Roger M. Battistella, Ph.D., is Professor of Health Policy and Management, Sloan Program in Health Services Administration, Cornell University, Ithaca, New York.

Copyright © 1998 by Aspen Publishers, Inc.