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Evan M. Melhado

In: Guide to U.S. Health and Health Care Policy

Chapter 12: Evolution of Health Planning (1970s–Present)

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Evolution of Health Planning (1970s–Present)
Evolution of health planning (1970s–present)
Evan M.Melhado

Health care professionals and some government officials began promulgating regional planning ideas as early as the 1920s. The general idea that health care planning would be in the public interest gained momentum, specifically after World War II (1939–1945). The movement flourished briefly during the 1960s and 1970s in response to expanded insurance coverage and rising health care costs in the wake of the creation of Medicare and Medicaid, as discussed in Chapter 11. By the 1980s, however, multiple factors coalesced to produce a new pro-competitive policy paradigm that was nearly the antithesis of traditional health planning. Remnants of the old planning regime are long gone, but new settings and approaches to health planning have emerged.

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