Abstract
This book addresses a subject of paramount social importance: contracting for the care of the poor on a prepaid basis. Several states have introduced such systems into their programs of care of the indigent. The federal government has looked favorably on such contracting as an effective strategy for containing the cost of such care. Christianson and Hillman report here the early experience of competitive contracting with health maintenance organizations and independent provider associations in Arizona.The book discusses the development of competitive contracting in the context of efforts by federal and state governments to reduce their expenditures for the health . . .