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Institutions in the Managed Care Environment

In: Healthcare Management

Author

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  • Volker Eric Amelung

    (Hannover Medical School)

Abstract

Since “Wall Street discovered healthcare”, not only the age of peaceful coexistence between service providers and payers is over, but an entirely new consulting market has developed. However, the types of products differ widely. The products can be broken down into three categories. First, there are consultation products that are meant to increase the efficiency of the provision of services. Among these, the following are particularly relevant: Management service organisations (MSO), physician practice management companies (PPMC) and pharmacy benefit management organisations (PBM). The second type of consultation products concentrates on the individual managed care instruments. Therefore, consulting services have partially specialised in conducting utilization reviews or developing guidelines.

Suggested Citation

  • Volker Eric Amelung, 2013. "Institutions in the Managed Care Environment," Springer Texts in Business and Economics, in: Healthcare Management, edition 127, chapter 7, pages 83-92, Springer.
    • Handle: RePEc:spr:sptchp:978-3-642-38712-8_7
    DOI: 10.1007/978-3-642-38712-8_7
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