[PDF] The Effects Of Managed Care And Managed Competition eBook

Author :
Publisher : DIANE Publishing
Page : 120 pages
File Size : 42,2 MB
Release : 1993-07
Category : Managed care plans (Medical care)
ISBN : 9780788100260

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Pamphlet from the vertical file.

Author : A.C. Enthoven
Publisher : Elsevier
Page : 175 pages
File Size : 49,66 MB
Release : 2014-04-23
Category : Medical
ISBN : 148329272X

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These lectures review the research and experience on the subject of health care economy. The author also sets down a moderately rigorous statement of the economic concepts underlying the kind of competition that he regards as the most promising way to achieve a reasonable degree of equity and efficiency in health care. The first lecture is on the public policy goals of health care financing and delivery and discusses efficiency in health care. The second presents an economic analysis of the systems for organizing and financing medical care systems in the United States. The third lecture is about ``managed competition'', and the fourth reviews American experience with efforts to convert from the traditional system to a competitive system.The book is addressed primarily to economists, health policy makers and health services researchers. It explains how market forces may be managed in pursuit of equity and efficiency in health care. It addresses systematically many of the causes of market failure and proposes a strategy (``managed competition'') for overcoming them. It should be of interest to policy makers in any country interested in incentives for more efficient health care delivery. It should also be very useful supplemental reading for courses in health care economics.

Author : Michael Scott Durant
Publisher :
Page : 263 pages
File Size : 37,12 MB
Release : 2000
Category :
ISBN : 9780599974630

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Patients will need to accept more responsibility for their health care. the need for managed care organizations and physicians to remain competitive will foster lower prices and improved quality through managed competition.

Author : Institute of Medicine
Publisher : National Academies Press
Page : 394 pages
File Size : 38,18 MB
Release : 1997-04-21
Category : Medical
ISBN : 0309175054

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Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.

Author : David J. Cooper
Publisher :
Page : 0 pages
File Size : 49,2 MB
Release : 2013
Category :
ISBN :

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We analyze the effect that competition between HMOs has on the cost and quality of medical services. Our key result is that increasing competition enhances consumer utility while also moderating the impact of managed care on quality and costs. Indeed, we find that heightened competition between HMOs can cause an overall increase in care quality and costs. This result derives from an important, but overlooked, feature of the managed care market place. Plans differentiate themselves by the size and depth of their provider network. The resulting competition to attract physicians exerts a moderating effect on the incentive contracts HMOs write with providers.

Author : Lenny Seigel
Publisher : DIANE Publishing
Page : 64 pages
File Size : 36,48 MB
Release : 1993-05
Category :
ISBN : 9781568064215

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Examines the potential of the managed competition approach to reduce the level & rate of growth of national health expenditures, & the specific features of managed competition that could generate significant savings.