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Managed care programs: an employer perspective

¹CaliforniaCare, Blue Cross of California, Woodland Hills.

Topics in Health Care Financing

|January 1, 1993

Summary

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Employers are exploring future managed care plan changes to control healthcare costs. This involves analyzing employer-managed care partnerships and the cost-effectiveness of next-generation plans.

Area of Science:

Health Services Research
Healthcare Management
Health Economics

Background:

Employers implemented numerous health care benefit plan modifications during the 1980s to contain costs.
The focus was on cost containment strategies within employer-sponsored health benefits.

Purpose of the Study:

To discuss potential future changes in managed care programs.
To review employer partnerships with managed care entities.
To examine the cost-effectiveness of future managed care plan modifications.

Main Methods:

Review of potential managed care program changes.
Analysis of employer-managed care partnerships.
Exploration of features for next-generation managed care plans.
Discussion of cost-benefit analysis dimensions for employers.

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Main Results:

Potential future managed care changes include strategic employer-managed care partnerships.
Next-generation managed care plans may incorporate innovative features.
Employers can utilize cost-benefit analysis to evaluate future plan effectiveness.

Conclusions:

Future managed care evolution will likely involve deeper employer-managed care integration.
Strategic analysis is crucial for employers to ensure cost-effectiveness of evolving health plans.