{"id":{"repo_id":"mo-state","oai_identifier":"oai:bearworks.missouristate.edu:theses-1954"},"canonical_url":"https://search.dev.ndltd.org/etd/mo-state/oai:bearworks.missouristate.edu:theses-1954","repository":{"repo_id":"mo-state","name":"Missouri State University","base_url":"https://bearworks.missouristate.edu/do/oai/"},"display":{"title":"Competition Vs. Regulation in the Health Care Market: Approaches to Cost Containment","abstract":"This thesis explores the merits of both the competitive and the regulatory strategies to cost containment in the health care market. It discusses the justifications for the use of these strategies and examines the effectiveness of each through case studies of health maintenance organization (HMOs) and diagnosis-related groups (DRGs). In addition, it considers how these strategies impact the quality of and access to care, highlighting the relationship between HMOs and the Medicare and Medicaid programs. The analysis indicates that neither HMOs nor DRGs have had a significant impact on containing total health care costs as both have failed to adequately address the factors that contribute to rising costs.","abstract_html":"This thesis explores the merits of both the competitive and the regulatory strategies to cost containment in the health care market. It discusses the justifications for the use of these strategies and examines the effectiveness of each through case studies of health maintenance organization (HMOs) and diagnosis-related groups (DRGs). In addition, it considers how these strategies impact the quality of and access to care, highlighting the relationship between HMOs and the Medicare and Medicaid programs. The analysis indicates that neither HMOs nor DRGs have had a significant impact on containing total health care costs as both have failed to adequately address the factors that contribute to rising costs.","abstract_has_math":false,"creators":["Twiton, Joan Kathryn"],"institution":null,"degree_name":"Master of Public Administration","degree_level":"Masters","degree_discipline":"Political Science","degree_department":null,"school":null,"contributors":["Kant Patel"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":1991,"date_issued":"1991-05-01T07:00:00Z","date_published":"1991-05-01T07:00:00Z","updated_at":"2026-07-24T03:16:00Z","subjects":["Public Administration"],"languages":[],"rights":["© Joan Kathryn Twiton"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://bearworks.missouristate.edu/theses/953","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Kant Patel"]},{"key":"dc:creator","label":"Author","values":["Twiton, Joan Kathryn"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Political Science"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Masters"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Public Administration"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Public Administration"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:rights","label":"Dc Rights","values":["© Joan Kathryn Twiton"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://bearworks.missouristate.edu/theses/953"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["This thesis explores the merits of both the competitive and the regulatory strategies to cost containment in the health care market. It discusses the justifications for the use of these strategies and examines the effectiveness of each through case studies of health maintenance organization (HMOs) and diagnosis-related groups (DRGs). In addition, it considers how these strategies impact the quality of and access to care, highlighting the relationship between HMOs and the Medicare and Medicaid programs. The analysis indicates that neither HMOs nor DRGs have had a significant impact on containing total health care costs as both have failed to adequately address the factors that contribute to rising costs."]},{"key":"dc:title","label":"Title","values":["Competition Vs. Regulation in the Health Care Market: Approaches to Cost Containment"]}]}],"canonical_facts":{"dc:contributor":["Kant Patel"],"dc:creator":["Twiton, Joan Kathryn"],"dc:description.abstract":["This thesis explores the merits of both the competitive and the regulatory strategies to cost containment in the health care market. It discusses the justifications for the use of these strategies and examines the effectiveness of each through case studies of health maintenance organization (HMOs) and diagnosis-related groups (DRGs). In addition, it considers how these strategies impact the quality of and access to care, highlighting the relationship between HMOs and the Medicare and Medicaid programs. The analysis indicates that neither HMOs nor DRGs have had a significant impact on containing total health care costs as both have failed to adequately address the factors that contribute to rising costs."],"dc:identifier":["https://bearworks.missouristate.edu/theses/953"],"dc:rights":["© Joan Kathryn Twiton"],"dc:subject":["Public Administration"],"dc:title":["Competition Vs. Regulation in the Health Care Market: Approaches to Cost Containment"],"thesis:degree_discipline":["Political Science"],"thesis:degree_level":["Masters"],"thesis:degree_name":["Master of Public Administration"]},"updated_at":"2026-07-24T03:16:00Z"}