Institutions in the Managed Care Environment

Volker Eric Amelung
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Volker Eric Amelung: Hannover Medical School

Chapter 7 in Healthcare Management, 2013, pp 83-92 from Springer

Abstract: Abstract Since “Wall Street discovered healthcare”, not only the age of peaceful coexistence between service providers and payers is over, but an entirely new consulting market has developed. However, the types of products differ widely. The products can be broken down into three categories. First, there are consultation products that are meant to increase the efficiency of the provision of services. Among these, the following are particularly relevant: Management service organisations (MSO), physician practice management companies (PPMC) and pharmacy benefit management organisations (PBM). The second type of consultation products concentrates on the individual managed care instruments. Therefore, consulting services have partially specialised in conducting utilization reviews or developing guidelines.

Keywords: Manage Care Organisation; Medication List; Peaceful Coexistence; Insured Person; Healthcare Market (search for similar items in EconPapers)
Date: 2013
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DOI: 10.1007/978-3-642-38712-8_7

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