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- W2040018102 abstract "This paper explores the reinvention of a state rate-setting agency in the face of competitive market forces from the viewpoint of sense-making theory. It argues that sense-making presents a useful framework for understanding how regulation can coexist with competitive forces to achieve cost-containment goals. This case of a statewide hospital rate-setting agency reveals the role of cultural differences between market forces and a state regulatory agency in forming a statewide partnership to maintain rate setting as a state-level policy tool. The results of initial sense-making of various hospital cost issues by both public and private sector actors are contrasted with the common, constructed meaning on these issues that can arise from mutual communication. The study concludes that an understanding of the process of organizational sense-making offers state regulators practical utility in considering the redesign of an organization." @default.
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- W2040018102 date "2009-09-01" @default.
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- W2040018102 title "All-Payer Hospital Rate-Setting in Maryland" @default.
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- W2040018102 doi "https://doi.org/10.2753/pmr1530-9576330105" @default.
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