Relative to other developed countries, Germany has been successful in controlling excess health care spending

Relative to other developed countries, Germany has been successful in controlling excess health care spending. Which of the following have been major contributing factors? Select all that apply.

1-budget capping that sets limits on per patient spending?

2-there is a distinct division between ambulatory and inpatient care

3- identify a clear tradeoff between services volume and price that honors global budget limits

4- the country has experienced fewer hospital admissions and physician visits by placing the cost burden onto the recients