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Managed care models

Managed care models are:

Features of managed care are:

  • regulation of the whole process of health care provision
  • interconnectedness of treatment facilities
  • financial participation of health care providers in the insurance risk

The managed care models are based on a network between care providers (e.g. doctors) and health insurers. They are designed to regulate healthcare while distributing responsibility among all stakeholders, i.e. also patients. This regulation guarantees more responsible decision making with regard to the necessity and form of treatment. The primary purpose of managed care models is to reduce healthcare spending and improve the quality of medical care through better organisation and optimised structures and processes. 

Depending on the model, policyholders can benefit from a premium reduction of up to 25 percent by committing themselves to always consulting a certain/chosen doctor in the event of illness. 

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