Competitive bidding and states' purchase of services
The case of mental health care in Massachusetts
Bibliographic Data
| ID | 11680463 |
|---|---|
| Authors | Mark Schlesinger (0000-0002-7142-8667, John F. Kennedy University, corresponding author), Robert A Dorwart (Cambridge Hospital), Richart T Pulice (Cambridge Hospital) |
| Year | 1986 |
| Volume | 5 |
| Issue | 2 |
| Pages | 245-263 |
| Publication date | 1986-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Policy Analysis and Management (JOURNAL) |
| Journal identifiers | ISSN: 0276-8739 • E-ISSN: 1520-6688 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1002/pam.4050050205 |
| PMID | 10276863 |
| OpenAlex | W2157738753 |
| Language | EN |
| Citations received | 18 |
Over the past two decades states have significantly increased their use of competitive bidding to purchase health and social services from private agencies. Competitive contracting is thought to facilitate program administration, to reduce costs, and to increase the quality of delivered services. We evaluate these claims in light of Massachusetts' experience with competitive contracting for mental health care. We find that few of the expected benefits are achieved. In practice, supposedly competitive bidding systems often degenerate into administratively complicated negotiations between the state and private monopolies. This results in higher costs and lower quality of services. In light of this negative assessment, three strategies for reform are proposed and evaluated
Administration (probate law · Bidding · Business · Economic growth · Economics · Health care · Mental health · Negotiation · Psychiatry · Public economics · Quality (philosophy · Healthcare Policy and Management · Medicine · Public Policy and Administration Research · Public-Private Partnership Projects · Marketing
Competition, Ownership, and Access to Hospital Services
Traiter les problèmes sociaux comme des urgences
A New Era for Social Policy
Privatizing Medicaid-funded mental health services
Effective Contract Implementation and Management
Politics, Administration, and Markets
How Competitive Is “Competitive” Procurement in the Social Services
The role of contract design in privatization of child welfare services
How much do we care
Government Contracts and “Managing the Market”
Competition, Negotiation, or Cooperation
The Challenges of Contracting and Accountability Across the Federal System
Nonprofit Human-Service Organizations, Social Rights, and Advocacy in a Neoliberal Welfare State
Trends in local public child welfare agencies 1999–2009
Outsourcing Public Service Delivery
The Mythology of Privatization in Contracting for Social Services
Th e Decision to Contract Out
Privatization Revisited
| Unique citing works | 18 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 1990 - 2014 (25) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 17 |