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加利福尼亚州通过了一个卫生保健改革法案。以三项措施加强医院和医生在医疗保健服务系统中的竞争。加利福尼亚州面临的问题是:在计划的270亿美元的州预算中,可能会有20亿美元的赤字,加州的医疗困难补助制度发生周期性的费用超支,1981年医院费用仍上涨了17.9％,因此立法机关同意授权政府及私营保险公司与医院及提供医疗服务的单位商定预付款合同,做为控制费用的手段。尽管商订的合同并不是控制费用的新办
California passed a health care reform bill. Three measures have been taken to strengthen the competition between hospitals and doctors in the health care service system. The problem facing the State of California is that in the planned $27 billion state budget, there may be a $2 billion deficit, and California’s medical hardship subsidy system will experience periodic cost overruns. In 1981, hospital costs will still rise by 17.9%. The legislature therefore agreed to authorize the government and private insurance companies to negotiate advance payment contracts with hospitals and institutions providing medical services as a means of controlling costs. Although the agreed contract is not a new one to control costs