Preliminary Remarks

Volker Eric Amelung
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Volker Eric Amelung: Hannover Medical School

Chapter 13 in Healthcare Management, 2013, pp 245-247 from Springer

Abstract: Abstract “After a turbulent decade of trial and error, that experiment can be characterized as an economic success but a political failure”, as Robinson stated (2001, p. 2622), was applicable for the United States some years ago. In particular, the question was raised of whether MCOs used “managed care” or “managed costs”. Critics emphasise that the second option was indeed the case, and that too little attention was given to the preferences and expectations of the insured as well as those of service providers. This led to the situation that although managed care was considered to be useful in theory, there are considerable problems in its implementation. This is heightened by the fact that it is unclear to most parties which instruments and organisational forms belong to managed care and that fully accepted methods, such as working according to guidelines or disease management, are not seen in connection with managed care. In general, different objectives and expectations are associated with managed care.

Keywords: Healthcare Service; Integrate Care; Economic Success; Considerable Problem; Swiss Population (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:spr:sptchp:978-3-642-38712-8_13

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DOI: 10.1007/978-3-642-38712-8_13

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