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Cost Containment and the Patient Protection and Affordable Care Act - page 20 / 30

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20 / 30

Addressing the major drivers of costs

High prices

Single-payer or all-payer negotiations

Oberlander & White, 361 NEJM 1131 (2009)

Health savings accounts?

High volume

Replace fee-for-service with salary and/or capitation (also addresses problem of high prices)

Rebalance specialist/primary care reimbursement ratio

Limits on hospital beds, surgical suites, MRI scanners and other facilities

Orentlicher, 19 Annals Health L. 449 (2010)

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