Zusammenfassung
Managed Care führt zu einer deutlichen Steigerung der Anzahl unterschiedlicher institutioneller Arrangements. Aus der ehemaligen „cottage-industry“ im Gesundheitswesen wird zunehmend eine ausdifferenzierte Dienstleistungsbranche mit den unterschiedlichsten Anbietern. Die Entwicklung weg von der simplen Zweiteilung von Leistungserstellung und -finanzierung hin zu dieser Vielzahl unterschiedlicher Organisationsformen hat verschiedene Gründe. Im Folgenden sollen die wichtigsten Zielsetzungen aufgezeigt und anhand von konkreten Beispielen erläutert werden:
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Verringerung der Transaktionskosten,
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Nutzung von Skalenerträgen,
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Aufbau von Marktmacht als Abwehrstrategie,
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Diversifikation in einen entstehenden Beratungsmarkt,
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Schaffung von Investitionsmärkten und
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Schaffung von Wahlmöglichkeiten.
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Amelung, V.E., Schumacher, H. (2004). Fazit. In: Managed Care. Gabler Verlag. https://doi.org/10.1007/978-3-322-94498-6_8
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