an important determinant of health system performance is contracting. providers often respond to financial incentives, despite the ethical underpinnings of medicine, and payers can craft contracts to influence performance. yet contracting is highly imperfect in both single-payer and multi-payer health systems. arguably, in a competitive, multi-payer environment, contractual innovation may occur...

1. An Amberlite XAD-2 column in a heated (37 degrees C) jacket was incorporated in between two banks of bioassay organs superfused with Krebs bicarbonate solution in cascade. The column removed prostaglandins, E1, E2 and F2alpha and also rabbit aorta contracting substance (RCS) and possibly slow reacting substance of anaphylaxis (SRS-A). 2. The column gave free passage to histamine in concentra...

This paper offers an empirical analysis of the relationship between income sharing rules and heterogeneity in medical group practices. The economies to group formation associated with risksharing, mutual monitoring, and internal referral are served by sharing at least a portion of group income equally. Sharing group income equally is problematic, however, when group members differ in their cont...

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public hospitals can privatize management activities by contracting with a private organization or person to perform the work. management contract is a method which uses private sector for major government projects like hospitals. this review study evaluated management contract conditions in selected countries. we focused on services under contract, different forms of management contract, metho...

We consider a class of dynamic collective action problems in which either a single principal or two competing principals vie for the support of members of a group. We focus on the dynamic problem that emerges when agents negotiate and commit their support to principals sequentially. A danger for the agents in this context is that a principal may be able to succeed by exploiting competition amon...

The allocation of risks among the contracting parties in a contract is an important decision affecting the project success. Some risks in a project are uncontrollable; these are imposed to a project by external factors. Since contracting parties can neither control nor affect the occurrence of such risks, their allocation to a party would be inequitable. Therefore the cost overrun related to un...

INTRODUCTION Contracting out health services is a strategy that many health systems in the developing world are following, despite the lack of decisive evidence that this is the best way to improve quality, increase efficiency and expand coverage. A large body of literature has appeared in recent years focusing on the results of several contracting strategies, but very few papers have addressed...

An important determinant of health system performance is contracting. Providers often respond to financial incentives, despite the ethical underpinnings of medicine, and payers can craft contracts to influence performance. Yet contracting is highly imperfect in both single-payer and multi-payer health systems. Arguably, in a competitive, multi-payer environment, contractual innovation may occur...