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Physicians vs. managed care. Can't they all just get along?
Business and Health
|August 18, 2001
Summary
Employers are increasingly using their purchasing power to influence healthcare dynamics. This involves navigating complex relationships between physicians and health plans.
Area of Science:
- Healthcare Management
- Health Economics
- Purchaser Power Dynamics
Background:
- Escalating disputes between healthcare providers (physicians) and payers (health plans) create inefficiencies.
- Employers, as major purchasers of healthcare, face rising costs and seek greater control.
Purpose of the Study:
- To explore employer strategies for leveraging their position as purchasers.
- To analyze methods for asserting influence in the physician-health plan relationship.
Main Methods:
- Qualitative analysis of employer initiatives.
- Case studies of employer-led healthcare interventions.
- Review of purchasing power models in healthcare.
Main Results:
- Employers are actively developing new approaches to manage healthcare spending.
- Purchaser power is emerging as a significant factor in healthcare negotiations.
- New models of healthcare delivery and financing are being explored.
Conclusions:
- The evolving role of employers is reshaping the healthcare landscape.
- Asserting purchaser power can lead to innovative solutions in healthcare.
- Collaboration and strategic negotiation are key for employers in healthcare procurement.