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Managed care in obstetrics

R S Richman1

  • 1Tufts Health Plan, Waltham, MA 02154, USA.

Current Opinion in Obstetrics & Gynecology
|August 1, 1996
PubMed
Summary
This summary is machine-generated.

Managed care significantly impacts US healthcare, particularly in obstetrics. This has led to diverse guidelines for managing pregnancy complications to control costs and improve care.

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Area of Science:

  • Healthcare Management
  • Obstetrics and Gynecology
  • Health Economics

Background:

  • Managed care has transformed from a cost-containment strategy to a dominant force in the US healthcare system.
  • Obstetrics, characterized by high volume and cost, is a key area of focus for managed care organizations.
  • Variations in treatment standards for pregnancy complications have prompted attention from various stakeholders.

Purpose of the Study:

  • To analyze the evolution and impact of managed care in the United States healthcare industry.
  • To examine the specific influence of managed care on the field of obstetrics.
  • To understand the drivers behind the development of practice and disease management guidelines in obstetrics.

Main Methods:

  • Review of historical trends in managed care evolution.

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  • Analysis of managed care's penetration and impact on obstetrics.
  • Examination of factors influencing guideline development in obstetrics.

    • Main Results:

    • Managed care has transitioned from a niche concept to a central component of US healthcare delivery.
    • Obstetrics has become a significant focus for managed care due to its high volume and associated costs.
    • Regulatory agencies and employers have shown keen interest, contributing to the proliferation of guidelines for pregnancy complications.

    Conclusions:

    • Managed care's influence on US healthcare is substantial and continues to grow.
    • The high-cost, high-volume nature of obstetrics makes it a prime target for managed care strategies.
    • Variability in care standards and stakeholder interest have spurred the creation of numerous preventative and disease management guidelines in obstetrics.