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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.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Moving or mimicking the market? The opportunities and constraints of state public employee health plans./
Author:	McKethan, Aaron Nance.
Description:	212 p.
Notes:	Adviser: Daniel Gitterman.
Contained By:	Dissertation Abstracts International68-11B.
Subject:	Health Sciences, General. -
Online resource:	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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020 $a 9780549327288
035 $a (UMI)AAI3289139
035 $a AAI3289139
040 $a UMI $c UMI
100 1 $a McKethan, Aaron Nance. $3 1029457
245 1 0 $a Moving or mimicking the market? The opportunities and constraints of state public employee health plans.
300 $a 212 p.
500 $a Adviser: Daniel Gitterman.
500 $a Source: Dissertation Abstracts International, Volume: 68-11, Section: B, page: 7218.
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.
590 $a School code: 0153.
650 4 $a Health Sciences, General. $3 1017817
650 4 $a Health Sciences, Health Care Management. $3 1017922
650 4 $a Political Science, General. $3 1017391
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710 2 $a The University of North Carolina at Chapel Hill. $b Public Policy. $3 1029456
773 0 $t Dissertation Abstracts International $g 68-11B.
790 $a 0153
790 1 0 $a Enthoven, Alain $e committee member
790 1 0 $a Gitterman, Daniel, $e advisor
790 1 0 $a Handa, Sudanshu $e committee member
790 1 0 $a Oberlander, Jonathan $e committee member
790 1 0 $a Sparer, Michael $e committee member
791 $a Ph.D.
792 $a 2007
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3289139