Cuidado administrado. Un producto de la dinámica del mercado
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Resumen
La atención administrada surgió de la competencia entre los compradores de atención médica, utilizando contratos selectivos para controlar los costos. Esta estrategia fomenta la competencia de precios entre los proveedores, marcando un paso significativo hacia un mercado de atención médica más eficiente.
Área de la Ciencia:
- Economía de la salud economía de la salud.
- Gestión de la gestión de la atención médica.
- Política de salud pública política de salud pública.
Sus antecedentes:
- La atención administrada se desarrolló inesperadamente a partir de la competencia entre los compradores públicos y privados de atención médica.
- Los empleadores utilizan técnicas de atención administrada para reducir los costos de los beneficios de salud de los empleados.
Objetivo del estudio:
- Describir el desarrollo y el impacto de la atención administrada en el sector de la salud.
- Analizar el papel de la atención administrada en el fomento de la competencia de precios entre los proveedores de atención médica.
Principales métodos:
- Análisis de las técnicas de compra empleadas por los empleadores.
- Examen de la contratación selectiva como herramienta de negociación.
- Observación de las respuestas de los proveedores a los cambios del mercado.
Principales resultados:
- La atención administrada ha iniciado la competencia de precios entre los proveedores de atención médica, rompiendo una barrera de larga data.
- Los proveedores se han reorganizado en unidades más grandes para mejorar el poder de negociación en respuesta a la contratación selectiva.
- La tasa de aumento de los costos de atención médica se ha reducido por el entorno de precios competitivos de la atención administrada.
Conclusiones:
- La atención administrada representa un paso inicial pero incompleto hacia un mercado de atención médica más eficaz.
- La evolución de la atención administrada está en curso y estará influenciada por las futuras dinámicas políticas y de mercado.
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