tag:blogger.com,1999:blog-553799694247296931.post8420032262159702061..comments2023-04-03T05:32:23.561-05:00Comments on DairyStateDad: In this togetherDairyStateDadhttp://www.blogger.com/profile/09100373589936758473noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-553799694247296931.post-83390052737952881142009-10-13T13:21:41.941-05:002009-10-13T13:21:41.941-05:00I think it fell apart because as the dominant pate...I think it fell apart because as the dominant paternalistic employers like Kodak, Xerox, Bausch & Lomb and GM fell into decline, they lost the collective economic clout (through their pooled health insurance purchasing power) to force the providers to continue to accept pricing based on community rating and capitation. I think it used to be the case that a hospital or practice that didn't sign up for the price cap wouldn't be included in the big employers' approved provider lists. As you may know, Genesee Hospital closed down in 2001 for financial reasons. I don't know exactly when the old arrangements broke down, but that too may have shifted negotiating power and posed an unsustainable disruption to the delicate balance of the system.faustohttps://www.blogger.com/profile/08858053354116695746noreply@blogger.com