Access Effects of Managed Care

Volker Eric Amelung
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Volker Eric Amelung: Hannover Medical School

Chapter 17 in Healthcare Management, 2019, pp 251-252 from Springer

Abstract: Abstract A main point of criticism of managed care is based on the argument that it worsens the care of certain population groups. Robinson and Steiner (1998) also attempted to answer this question in their evaluation of empirical studies. Study results analysing the care of children, women with low income and the elderly showed that the treatment of children by MCOs was just as good as or better than that of fee-for-service insurances. Only one study found that children from low-income families had a lower chance of seeing a physician than in the traditional insurance system. In more recent studies no clear results were found. Mitchell et al. (2008) showed that children in MCOs receive a more strongly guideline-oriented treatment than those in traditional insurances. Such results are not unanimous. For instance a study by Davidoff et al. (2008) reported that chronically ill children in MCOs received fewer prescriptions than those in fee-for-service insurances, while Garrett and Zuckerman (2005) found no difference between fee-for-service insurances and managed care.

Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:spr:sptchp:978-3-662-59568-8_17

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DOI: 10.1007/978-3-662-59568-8_17

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