Titlebook: Healthcare Management; Managed Care Organis Volker Eric Amelung Textbook 2019Latest edition Springer-Verlag GmbH Germany, part of Springer

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Institutions in the Managed Care Environmentut an entirely new consulting market has developed. However, the types of products differ widely. The products can be broken down into three categories. First, there are consultation products that are meant to increase the efficiency of the provision of services. Among these, the following are parti

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Conclusionransformed into a differentiated service industry with diverse providers. There are several reasons for the development from the simple division of the delivery and purchasing of services to this variety of different organisational forms. In the following section the most important objectives will b

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Contract Designh whom an MCO concludes supply contracts (selective contracting). The conclusion of selective contracts is so significant for managed care and healthcare management that it is considered crucial to the definition of managed care by not only the authors of this book, but the literature supports this

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Cost Management usefulness and effectiveness of gatekeeping, formularies and utilization reviews. These three cost management tools are especially relevant to Managed Care. In gatekeeping, most treatment episodes begin with a visit to an individually selected physician, the gatekeeper, who ensures a coordinated an