After several decades, is managed care
dead or on the decline?
And for a long time managed care
delivered on the promise.
IF YOU'RE LOOKING FOR the next iteration of managed care
, you've come to the wrong place.
The term managed care
connotes a commitment to improving the delivery of health care.
The "do over" theme seemed to permeate the 1999 meeting of the American Public Health Association (APHA), held in Chicago in early November, especially in discussions of managed care
and its application to long-term care.
The Managed Care
Information Center (MCIC), Robert K Jenkins, publisher, has launched Managed Care
Executive Information Service--an online service "specifically designed for time-pressed managed care
market researchers and executives in health and managed care
organizations, pharmaceutical firms, healthcare technology companies serving the managed care
industry, and others studying the growing managed care
market," Jenkins says.
brings down traditional Medicare spending
Kongstvedt (1989) stated that corporations have addressed the escalation in cost by reducing coverage and/or offering creative benefits packages such as managed care
Just as the relatively new managed-care industry is taking tips from other businesses, so other businesses are learning from managed care
However, if primary physician groups receive fixed payments under managed care
contracts, the cash method may be inappropriate for reporting a group's financial performance and managing a practice.
These laws, along with mandated-benefits legislation, reduce the effectiveness of managed care
by limiting the plan's ability to control quality, cost and utilization.