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Biomedical subjects

H P Cain

Publications and source records attributed to H P Cain.

13 recordsLinked to original sources
PubMed1981

Health planning in the United States: the 1980s--a protagonist's view.

The health planning program developed under P.L. 93--641 is attempting to establish "community trusteeships" for health care in communities across the nation. It is based on a series of assumptions concerning public participation and involvement that are likely to remain viable for some time. Because of great local and state variations, it is difficult to measure performance on a nationwide basis; on balance, the record is positive. The program needs to be treated with patience, a very scarce American characteristic. The lack of a better, realistic alternative is the strongest argument for its continuation.

Community Participation↗
PubMed1978

Issues in the implementation of P.L. 93-641.

This article is aimed at an audience of health planners and any others who are already well versed in recent developments on the U.S. health planning scene. It assumes that the reader knows most of the details of Public Law 93-641 and its current status of implementation. The author discusses a few of the issues most central to the future of the program, provides a point of view on those issues, and invites response from the planning community to these and other issues. Attention is focused on four subjects (1) Inter-HSA Coordination; (2) State Agency Performance Standards; (3) Statewide Health Coordinating Councils; and, (4) Health Planning and the Goal of Cost Containment.

Health Planning↗
PubMedDate not supplied

Moving Medicare to the FEHBP model, or how to make an elephant fly.

Transforming Medicare into a Federal Employees Health Benefits Program (FEHBP)-type program holds the promise of more choice, lower costs (in the long term), and higher quality--a fine concept that will collapse in its implementation unless at least three conditions are met. (1) Congress gets the regulatory structure right and then refrains from annual tinkering, (2) Congress does not set unrealistic expectations regarding "cost savings," especially if a prescription drug benefit is added, and (3) administrative agency staff have the requisite training and a "privatizing" orientation. Given Medicare's history and the "Medicare-industrial complex," none of those conditions is likely to be met.

Cost-Benefit Analysis↗