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Resisting the Dream of Markets: Maryland’s All-Payer Hospital Rate-Setting System and the Persistence of Regulation in U.S. Health Care

In: Business History of Hospitals in the 20th Century

Author

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  • Guian A. McKee

    (University of Virginia)

Abstract

Maryland’s system has undertaken important new policy experiments that are now expanding to other states, suggesting at least partial reversal of the market-orientation that has dominated U.S. cost control efforts for the last three decades despite a striking lack of success. This essay traces the evolution of the Maryland system and places it in the wider context of the U.S. health system and regulatory environment.

Suggested Citation

  • Guian A. McKee, 2024. "Resisting the Dream of Markets: Maryland’s All-Payer Hospital Rate-Setting System and the Persistence of Regulation in U.S. Health Care," Frontiers in Economic History, in: Paloma Fernández Pérez (ed.), Business History of Hospitals in the 20th Century, pages 15-27, Springer.
    • Handle: RePEc:spr:frochp:978-3-031-59423-6_2
    DOI: 10.1007/978-3-031-59423-6_2
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