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The Hungarian Care Managing Organization Pilot Program.

Imre Boncz¹, Tamás Evetovits², Csaba Dózsa³

¹Faculty of Health Sciences, Institute for Health Insurance, University of Pécs, Pécs, Hungary.

Value in Health Regional Issues

|April 27, 2018

Summary

This summary is machine-generated.

The Hungarian care managing organization (CMO) pilot program aimed to improve healthcare efficiency. Despite achieving average savings of 4.94%, the pilot was discontinued without full evaluation.

Keywords:

Hungary care managing health care reform health insurance managed care risk selection

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Area of Science:

Health Services Research
Healthcare Management
Public Health Policy

Background:

The Hungarian healthcare system sought to enhance effectiveness and cost-efficiency.
A key driver was the need to modify physician behavior within the existing single-payer structure.

Purpose of the Study:

To describe the Hungarian care managing organization (CMO) pilot program.
To analyze its environment, incentive structures, and preliminary outcomes.

Main Methods:

Nine CMOs entered the pilot in 1999, expanding to 14 by 2006, covering 2.1 million people.
The program integrated elements of US managed care and UK fundholding within a Central-European single-payer context.

Main Results:

CMOs operated on risk-adjusted capitation revenue, with expenditures covering all patient healthcare costs.
An average savings rate of 4.94% was observed between 1999 and 2007.
Highest savings were in inpatient care (chronic and acute) and medical devices.

Conclusions:

The CMO pilot program contributed to the modernization of Hungary's healthcare system.
The pilot's discontinuation in 2008 precluded a comprehensive evaluation.