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As a means of enhancing competition among drug producers, a new scheme of cost-sharing was introduced in 1993.
Supply-side cost-containment becomes a necessary and increasingly important adjunct to demand-side cost-sharing.
In effect, the lowered premiums, enriched benefit packages, and reduced cost-sharing characteristic of early managed care products could no longer be 'financed' by provider discounts.
The expansion was mainly financed by state revenue generated from continuous economic growth rather than increases in taxation or any contributory or cost-sharing schemes.
That attempts to contain costs by reducing access or increasing cost-sharing may not always be appropriate has also been argued.
Rather, to the extent that cost control has produced strains, it has resulted mainly in higher consumer cost-sharing.
This has the most extensive benefits and very low cost-sharing requirements.
Efforts to reduce cost-related underuse by lowering co-payments seems unlikely in the near term, given the widespread trend to increase co-payments and patient cost-sharing.
These payments include the patient cost-sharing contributions.
Lowincome workers could be given the choice of picking specific benefits from a list of options, utilising cost-sharing between the government, the employer and the employee.
This includes contracts issued to nominated individuals, low-value contracts where the costs of a competition would outweigh potential savings, and cost-sharing contracts.
I understand that many processors and suppliers have agreed and are currently operating cost-sharing arrangements.
I believe if there were that kind of cost-sharing we might, at least in part, overcome our principal problem.
However, we are aware of the concerns of many about the effect of cost-sharing.
Where proposals are supported, this is usually on some mutually acceptable cost-sharing basis.