Article Title

Managed Competition II: A Proposal

Publication Title

Washington University Journal of Urban and Contemporary Law


The managed competition proposals presented by the Jackson Hole Group in September 1991 have contributed significantly to the current debate on American health care reform. Critical elements of our earlier work - purchasing cooperatives, accountable health plans, outcomes information - are instrumental to most current state initiatives and many proposals for national legislation. While these ideas have formed the basis of mainstream thinking about health care delivery, Congress and the President have not yet been able to formulate a consensus strategy for ensuring universal coverage and effective cost containment. Each proposal for federal legislation seems stymied by its inability to predict the economic consequences of its implementation.