Abstract
The influence of managed care on the cost of care is difficult to assess. Only few studies compare the entire cost of MCOs with those of the traditional fee-for-service insurances. Often only certain aspects are investigated, since the complexity would otherwise be impossible to address. Thus, the expenses of hospital services, the use of service providers and the influence on the prices of health services are examined. Due to higher economic efficiency and lower purchasing prices it is also difficult to separate the cost reductions in managed care from the selection effects. At least a portion of the cost advantages of MCOs seems to be due to the more favourable risks in the structure of insured persons in HMOs.
Literature
Chernew, M. E., Hirth, R. A., Sonnad, S. S., et al. (1998). Managed care and cost growth. Managed Care Research and Review, 55, 259–288.
Dudley, R. A., Miller, R. H., Korebrot, T. Y., et al. (1998). The impact of financial incentives on quality of health care. The Milbank Quarterly, 76, 649–688.
Konetzka, R. T., Zhu, J., Sochalski, J., & Volpp, K. G. (2008). Managed care and hospital cost containment. Inquiry, 45(1), 98–111.
Kühn, H. (1997). Managed Care. Medizin zwischen kommerzieller Bürokratie und integrierter Versorgung. Am Beispiel USA, Veröffentlichungsreihe der Arbeitsgruppe Public Health des Wissenschaftszentrums Berlin.
Shimada, S. L., Zaslavsky, A. M., Zaborsky, L. B., et al. (2009). Market and beneficiary characteristics associated with enrollment in medicare managed care plans and fee-for-service. Medical Care, 47(5), 517–523.
Sullivan, K. (2000, July/August). On the ‘Efficiency’ of managed care plans. Health Affairs, 19(4), 139–148
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Amelung, V.E. (2013). Cost Effects of Managed Care. In: Healthcare Management. Springer Texts in Business and Economics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38712-8_14
Download citation
DOI: https://doi.org/10.1007/978-3-642-38712-8_14
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-38711-1
Online ISBN: 978-3-642-38712-8
eBook Packages: Business and EconomicsBusiness and Management (R0)