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[Do we really want managed care?]

M Geraedts1

  • 1Institut für Medizinische Informationsverarbeitung, Eberhard-Karls-Universität Tübingen. max.geraedts@med.uni-tuebingen.de

Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany))
|November 17, 1998
PubMed
Summary

Managed Care in the US shows significant drawbacks for patients and physicians, including decreased choice and curtailed freedom. These negative effects suggest the concept may not be suitable for the German healthcare system.

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Area of Science:

  • Health Services Research
  • Healthcare Policy
  • Comparative Health Systems

Background:

  • Managed Care is debated in Germany for potential healthcare quality and cost improvements.
  • Current German discussions focus on theoretical advantages over the existing system.
  • Empirical evidence on Managed Care's real-world impact is needed.

Purpose of the Study:

  • To analyze the effects of Managed Care on patients and physicians in the US.
  • To evaluate if theoretical benefits of Managed Care translate into practical advantages.
  • To inform the German healthcare system's discussion on Managed Care adoption.

Main Methods:

  • Analysis of contemporary effects of Managed Care in the US.
  • Examination of patient and physician experiences.
  • Assessment of healthcare expenditures and regulatory responses.

Main Results:

  • Managed Care has temporarily slowed healthcare expenditure growth in the US.
  • Patients report reduced trust, choice, continuity of care, and high costs.
  • Physicians face increased financial risks and reduced therapeutic freedom.
  • Increased external controls and regulations are imposed on the Managed Care industry.
  • Overall, Managed Care fails to meet patient and physician expectations.

Conclusions:

  • The US implementation of Managed Care yields significant negative side effects.
  • Patients and physicians are principal stakeholders negatively impacted.
  • Transferring the US Managed Care model to Germany is not advisable.

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