United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office Health, Education, and Human Services Division author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 1994-04-08 monographic deposited born digital GA 1.13:HEHS-94-139 https://www.govinfo.gov/app/details/GAOREPORTS-HEHS-94-139 P0b002ee1803830fe f:he94139 DGPO 2010-08-12 2011-03-23 GAOREPORTS-HEHS-94-139 machine generated eng fdlp REPORT GAOREPORTS-HEHS-94-139 HEHS-94-139 Health care planning Health insurance cost control Health services administration Health care programs State-administered programs Health care services Insurance premiums Proposed legislation Program evaluation Health Security Act Managed Competition Act of 1993 Health Equity and Access Reform Today Act of 1993 CalPERS Health Benefits Program (CA) CalPERS PERSCare Plan (CA) CalPERS PERSChoice Plan (CA) California Clinton Health Care Plan National Health Care Reform Initiative Michigan Florida Washington Other Written Product HEHS

A common feature of many health reform bills is the creation of public or private health purchasing groups, known as alliances. These entities have been proposed mainly as a way to broaden coverage, pool risks, give consumers a choice of health care plans, and disseminate information on the costs and quality of plans. The major health reform proposals relying on alliances, however, have boundary provisions that raise concerns. These concerns include the potential for gerrymandering, changing the provision and receipt of health care, segmenting high-risk groups, and isolating underserved areas. https://www.govinfo.gov/content/pkg/GAOREPORTS-HEHS-94-139/html/GAOREPORTS-HEHS-94-139.htm GAO/HEHS-94-139 https://www.govinfo.gov/app/details/GAOREPORTS-HEHS-94-139 Other Written Product GAO/HEHS-94-139; Health Care Alliances: Issues Relating To Geographic Boundaries; Health care planning Health insurance cost control Health services administration Health care programs State-administered programs Health care services Insurance premiums Proposed legislation Program evaluation Health Security Act Managed Competition Act of 1993 Health Equity and Access Reform Today Act of 1993 CalPERS Health Benefits Program (CA) CalPERS PERSCare Plan (CA) CalPERS PERSChoice Plan (CA) California Clinton Health Care Plan National Health Care Reform Initiative Michigan Florida Washington Title 44 Section 3504 44 U.S.C. 3504 Public Law 98-473 Public Law 99-500 Public Law 100-202