Contributors 
Foreword 
Introduction

Part I: What, If Anything, Is Wrong With Private Health Insurance?

• Problems and Prospects in Multiple-Option Health Plan Settings
• Managed Competition--Why We Don't Have It and How We Can Get It
• Biased Selection--Fairness and Efficiency in Health Insurance Markets
• Why Preserve Private Health Care Financing?
• Commentary on Part I
• The Nature of the Problem--Discussion of Part I

Part II: What Should Be the Role for the Private Sector in Improving Access to Health Care?

• Mandated Benefits and Compensating Differentials--Taxing the Uninsured
• The Dilemma of Affordability--Health Insurance for Small Businesses
• Appendix 7-A: List of Robert Wood Johnson Foundation Project Locations
• Regulating the Content of Health Plans
• Commentary on Part II
• The Role of the Private Sector--Discussion of Part II

Part III: What Can Reform Achieve in Health Care Cost Containment?

• Innovations and Impediments in Private Sector Initiatives
• Medicare as the Basis for All-Payer Provider Payment Reform
• The Five W's of Utilization Review
• The Hidden Costs of Budget-Constrained Health Insurance Systems
• Appendix 12-A: Calculation of Private Insurance Overhead
• Appendix 12-B: Costs of Nonprice Rationing of Physicians' Services
• Commentary on Part III
• Containing Health Care Cost--Discussion of Part III

Part IV: What Are the Choices Among Policies to Achieve Reform?

• Why Is Health Care So Hard to Reform?
• The Search for Adaptable Health Policy Through Finance-Based Reform
• Elimination of Employer-Based Health Insurance
• Commentary on Part IV
• The Role of Choice in Health Policy Reform--Discussion of Part IV

Part V: The Politics of Health Policy Reform

• Commentary
• Health Reform Politics--Discussion of Part V