While health care has become one of the leading policy concerns of the
American public, cost containment has emerged as the most prominent u
nderlying factor. Components of health care cost escalation include so
cietal problems, consumer demand, an aging population, the technology
explosion, administrative inefficiencies, the malpractice crisis, frau
d and abuse, the lack of health promotion and disease prevention, the
rising number of uninsured, and regulatory issues. The three major cat
egories of health reform proposals, with characteristic cost containme
nt features, are discussed. A comprehensive listing of available cost
containment interventions is summarized in ten categories.