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Quality Effects of Managed Care

In: Healthcare Management

Author

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  • Volker Eric Amelung

    (Hannover Medical School)

Abstract

Linking managed care with poor quality sometimes goes hand in hand. This particularly raises the question of how MCOs may act in extreme situations when a patient is seriously ill. However, what people pay less attention to is how MCOs act in the large amount of normal cases. This once again documents the considerable difficulty of MCOs to build up confidence, also in respect to the general meaning of confidence in healthcare. The Advisory Council on the Assessment of Developments in the Health Care System in Germany (SVR 2009) could neither confirm significant positive nor negative effects of managed care on quality in its assessment. Using a systematic review of 107 studies, largely originating from the United States, 36 % of the studies were identified which determined a positive or largely positive effect on quality, but 37 % also found negative or largely negative effects. A specification of the quality assessment indicators was not possible due to the great number of parameters.

Suggested Citation

  • Volker Eric Amelung, 2013. "Quality Effects of Managed Care," Springer Texts in Business and Economics, in: Healthcare Management, edition 127, chapter 15, pages 251-253, Springer.
    • Handle: RePEc:spr:sptchp:978-3-642-38712-8_15
    DOI: 10.1007/978-3-642-38712-8_15
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