Zusammenfassung
Seit die „Wall Street das Gesundheitswesen entdeckt hat“, ist nicht nur die Zeit der friedlichen Koexistenz zwischen Leistungserbringern und -finanzierern vorbei, sondern es hat sich ein völlig neuer Beratungsmarkt entwickelt.
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Notes
- 1.
Teilweise wird auch von Medical Service Organsations gesprochen.
- 2.
Um Redundanzen zu vermeiden, soll auf gleiche Funktionen, z. B. die Möglichkeit, Verträge mit Kopfpauschalen anzunehmen, nicht nochmals eingegangen werden.
- 3.
Bevölkerungsanteil der in einen Health Plan mit extrernem PBM eingeschrieben ist.
- 4.
Für die ca. 65 % Erwerbstätigen der amerikanischen Bevölkerung ist inzwischen in beinahe allen Fällen der Medikamentenbedarf mitversichert. Seit 2006 erhalten auch Medicare-Versicherte Medikamentenleistungen.
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Amelung, V.E. (2022). Institutionen im Managed-Care-Umfeld. In: Managed Care. Springer Gabler, Wiesbaden. https://doi.org/10.1007/978-3-658-12527-1_7
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