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L. Bellin (1970)
Policing publicly funded health care for poor quality, overutilization, and fraud—The New York City Medicaid experienceJournal of Ambulatory Care Management, 14
Public assistance medical care expenditure data supplied to the US Department of Health, Education, and Welfare by nine Western and ten Southern state were analyzed. For comparison purposes, data from states without a drug formulary or with an open or unrestricted formulary were compared with those from states maintaining a closed formulary. Contrary to popular expectation, no relationship was found between formulary status and expenditures. Broadly based peer review and utilization control programs are suggested as a sounder approach to the efficient provision of medical care.
JAMA – American Medical Association
Published: Mar 27, 1972
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