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Business Coalitions on Health Care AN EVOLUTION FROM COST CONTAINMENT TO QUALITY IMPROVEMENT Edward Rooney, MPH, RN s health care costs rose in the 1980s, Some of the new efforts in coalitions have a businesses tried many approaches to con different focus: incorporating quality improve A these costs. Coalitions of employers ment processes to contain rising health care costs trol in the hope that this new breed of coalitions will concerned with health care costs were part of that effort (Rooney, 1990). While some individual com succeed where other coalitions have not. panies were able to demonstrate cost savings, This article briefly discusses rising health there is little documented evidence that employer care costs, traces the evolution of business coali coalitions were effective in reducing total health tions on health, and reviews the structure, func care costs in their communities, despite the signif and lack of success of the earlier coalitions. tions, icant effort and funding put into coalition initia A new direction in coalitions that incorporates tives (Gurley, 1989b; McLaughlin, 1989). quality improvement processes is described, along Coalitions of employers are important if the with some of the difficulties encountered by this goal is containing community wide health
AAOHN Journal – SAGE
Published: Jun 1, 1992
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