Table 3. Comparison of Basic Program Characteristics Among NHRS Secondary Study Group States.
| STATE/AREA | YEAR IMPLEMENTED | TYPE OF AGENCY | DATE AND NATURE OF MAJOR CHANGES | TYPE OF REVIEW |
|---|---|---|---|---|
| Colorado | 1971 | Department of Social Services Blue Cross Colorado Hospital Commission | 1974: Blue Cross began a voluntary budget review and negotiation program; 1978: mandatory program under Colorado Hospital Commission begun; Blue Cross Program ended | Medicaid: Review and compliance required by law; budget review; negotiation; payment rate set; Blue Cross: voluntary participation; review with standardized guidelines; negotiation; interim payment rates set Commission: review and compliance required by law; budget review; negotiation |
| Nebraska | 1972 | Hospital Association | 1977: program ended | Voluntary review and compliance; department-level budget review without screens |
| Indiana | 1959 | Blue Cross Review Committee | Voluntary review and compliance; budget and review; individual contracts negotiated | |
| Rhode Island | 1971 | State Budget Office Department of Health Hospital Assoc. Blue Cross | 1972: state law enacted 1974: more stringent system instituted; adjusted for volume variance initiated |
Review and compliance required by law and by contract with Blue Cross; budget review; negotiations potentially extending through binding arbitration |
| Kentucky | 1974 | Blue Cross | Voluntary review; compliance required by Blue Cross contract; budget review; negotiation | |
| Wisconsin | 1974 | Department of Health Blue Cross Hospital Assoc. | Review and compliance required by law and by contract with Blue Cross; budget review; negotiations |