Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Managed care: past evidence and potential trends.

R H Miller1, H S Luft

  • 1Institute for Health and Aging, University of California, San Francisco.

Frontiers of Health Services Management
|January 3, 1994
PubMed
Summary

Network-based managed care plans, particularly Health Maintenance Organizations (HMOs), reduce healthcare use and costs while maintaining quality. Newer managed care organizations (MCOs) show mixed results but are adapting successful strategies.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Better for whom? Policy implications of acting on the relation between volume and outcome in coronary artery bypass grafting.

Journal of the American College of Cardiology·2001
Same author

Context and community.

Health services research·2001
Same author

Managed care in transition.

The New England journal of medicine·2001
Same author

Assessing the relationship between quality of care and the characteristics of health care organizations.

Medical care research and review : MCRR·2000
Same author

A reply to Sullivan's reanalysis of managed care plan performance since 1980.

American journal of public health·2000
Same author

Pharmacoeconomic analyses: making them transparent, making them credible.

JAMA·2000

Area of Science:

  • Health Services Research
  • Health Economics
  • Public Health Policy

Background:

  • Rapid growth in network-based managed care plans necessitates evaluation of their impact.
  • Managed care plans aim to control healthcare utilization, expenditure, and quality compared to traditional fee-for-service models.

Purpose of the Study:

  • To analyze existing literature on the performance of various managed care plans.
  • To compare the effectiveness of different managed care models against fee-for-service plans regarding utilization, expenditure, and quality of care.

Main Methods:

  • Systematic review and analysis of published literature on managed care plan performance.
  • Comparative analysis of utilization, expenditure, and quality metrics across different plan types.

Related Experiment Videos

Main Results:

  • Strong evidence indicates that staff- and group-model Health Maintenance Organizations (HMOs) decrease utilization and expenditure.
  • Quality of care is maintained in staff- and group-model HMOs compared to fee-for-service.
  • Evidence for newer forms of managed care organizations (MCOs) is less consistent, showing mixed performance.

Conclusions:

  • Traditional HMOs effectively reduce costs and utilization without compromising care quality.
  • Future trends suggest increased employer leverage over managed care firms, leading to market concentration.
  • Newer MCOs will likely adopt strategies from traditional HMOs to enhance cost control and quality monitoring.