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Access Effects of Managed Care

In: Healthcare Management

Author

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  • Volker Eric Amelung

    (Hannover Medical School)

Abstract

A main point of criticism of managed care is based on the argument that it worsens the care of certain population groups. Robinson and Steiner (1998) also attempted to answer this question in their evaluation of empirical studies. The care of children, women with low income and the elderly were studied. The studies’ results showed that the treatment of children by MCOs was just as good or better than that of fee-for-service insurances. Only one study found that children from low-income families had a lower chance of seeing a physician than in the traditional insurance system. In more recent studies no clear results were found. Mitchell et al. (2008) showed that children inMCOs receive a more strongly guideline-oriented treatment than those in traditional insurances. However, while Davidoff et al. (2008) report that chronically ill children in MCOs need less prescriptions than those in fee-for-service insurances, Garrett and Zuckerman (2005) found no difference between fee-for-service insurances and managed care.

Suggested Citation

  • Volker Eric Amelung, 2013. "Access Effects of Managed Care," Springer Texts in Business and Economics, in: Healthcare Management, edition 127, chapter 16, pages 255-256, Springer.
    • Handle: RePEc:spr:sptchp:978-3-642-38712-8_16
    DOI: 10.1007/978-3-642-38712-8_16
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