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Managed competition and the health care crisis
1Cornell University Medical College, New York, NY 10021, USA.
Health Care Management (Philadelphia, Pa.)
|September 5, 1995
Summary
Healthcare reform faces political gridlock, even with public demand for lower costs, wider coverage, and better patient satisfaction. This analysis explores the challenges of managed care in achieving these health system goals.
Area of Science:
- Health Services Research
- Healthcare Policy
- Public Health
Background:
- Political gridlock impedes healthcare reform despite public desire for cost control, expanded coverage, and improved patient satisfaction.
- Managed care is proposed as a solution, but its effectiveness is questioned.
- Significant challenges exist in balancing cost containment with patient satisfaction within managed care models.
Purpose of the Study:
- To examine the potential pitfalls of managed care strategies.
- To analyze the impact of managed care on cost containment.
- To evaluate the effect of managed care on patient satisfaction.
Main Methods:
- Literature review of managed care policies and outcomes.
- Analysis of healthcare reform challenges.
- Examination of cost containment and patient satisfaction metrics.
Main Results:
- Managed care presents significant challenges to achieving both cost containment and high patient satisfaction.
- The effectiveness of managed care in meeting reform goals is uncertain.
- Political and systemic factors contribute to the gridlock in healthcare reform.
Conclusions:
- Managed care may not be a universally effective solution for healthcare reform.
- Further research is needed to address the complexities of cost containment and patient satisfaction.
- Policy interventions must consider the multifaceted nature of healthcare system challenges.