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Abstract: 

Contracting or privatization of health care has been an approach that many states and counties have taken to manage their spiraling health care costs. To date there are 28 states that have privatized their health care in whole or in part. Depending upon the contractual structure, “privatization” of health care often creates the conditions supportive of effective management: fixing a global budget that must be adhered to, putting managers at financial risk for their performance, and enabling managers to staff the inmate health care system effectively, unencumbered by substandard salary levels and inflexible work rules.

Keywords: Health Maintenance Organization model, Cost Containment, liability, risk, Hepatitis C

Affiliations:  .