Health Affairs July 23, 2018
Recently, Austin Frakt asked in the New York Times, “Would Americans Accept Putting Health Care on a Budget?,” highlighting Maryland’s global hospital budgets. We observe that Frakt’s question and Maryland’s effort fit within the much larger context of a movement toward budgeting health care in the United States.
The desire to budget health care is not new. States and employer purchasers have used prepaid health plan contracting as a way to budget Medicaid and employee health benefit costs for years. Despite this, there have been decades of failed efforts to constrain health care cost growth and the ever-increasing share of public and private dollars going to health care. We find ourselves in the midst of a period in which budgeting...
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