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Managed Care Konzepte und Lösungsansätze– Ein internationaler Vergleich aus schweizerischer Sicht

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Author Info
Johannes Schoder () (Socioeconomic Institute, University of Zurich)
Peter Zweifel () (Socioeconomic Institute, University of Zurich)
Abstract

This paper applies the five modified standard criteria generally used in economics for assessing system performances to gauge the contribution of Managed Care to the performance of three health care systems, viz. Germany, the Netherlands and the United States. The maximum contribution of Managed Care to the performance of the health care system is found for the United States and the Netherlands. The Health Maintenance Organization (U.S.) and the gatekeeper model (the Netherlands) score 10 and 9 out of 15 points, respectively, importantly due to a market-oriented environment. By way of contrast, the so-called ‘structured treatment programs’ of the German health care system score only 4 out of 15 points. Not only the more tightly regulated environment but also the lack of consideration of consumer preferences and of incentives for service providers to participate in the programs contributed to poor performance.

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File URL: http://www.soi.uzh.ch/research/wp/2008/wp0801.pdf
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Paper provided by University of Zurich, Socioeconomic Institute in its series Working Papers with number 0801.

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Length: 23 pages
Date of creation: Jan 2008
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Handle: RePEc:soz:wpaper:0801

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Related research
Keywords: steigende Gesundheitsausgaben; Managed Care; Performance; Principal-Agent Relationship;

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Find related papers by JEL classification:
I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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