Managed Care models are:
Features of Managed Care models are:
- regulation of the whole process of service performance
- linking of treatment facilities
- financial participation of the service providers in the insurance risk
The medical care of Managed Care models is regulated through a strong linkage and joint responsability between service providers, policyholders and financing. This regulation guarantees a higher responsibility in decisions about the necessity and the kind of treatment. Managed Care models primarily have the aim to decrease costs in the health care system and to improve the quality of medical care thanks to ameliorated organisation as well as optimised structures and processes.
With the obligation to always consult a certain/chosen doctor in the case of illness, the policyholders can benefit from a premium reduction of up to 25 percent, depending on the model. At the same time, the policyholders contribute to decreasing the costs of the health care system.
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