Beyond Managed Care

Written for health care leaders at all levels, Beyond Managed Care identifies and assesses the key factors most likely to influence the future market for health care services-such as consumer empowerment through the Internet and the increasing demands of the aging baby boomer population-and shows providers what adjustments can be made in order to thrive in this emerging environment. The authors analyze the factors driving health care costs such as changing demographics, new medical technology, genetic and new drug research, and payment system models. The book clearly shows that organizations that are able to take organizations to the next value-added level--by providing quality, access, service, innovation, and lower costs--will be the winners.

Foreword by Leland Kaiser. Acknowledgements. Preface. The Authors. LESSONS LEARNED FROM THE PAST TWO DECADES. Twenty Years of Health Care Revolution: A Look Back. The Maturing of Managed Care. FINANCIAL RESOURCES AVAILABLE TO FUND HEALTH CARE. The Dynamics of the Health Care Marketplace. How Health Care SpAnding Will Develop: TrAnds from 2000 to2005. Who Pays for Benefits and Who Receives Them. EXTERNAL FACTORS INFLUENCING THE HEALTH CARE MARKETPLACE OF THEFUTURE. The Growing Role of Consumers. The Changing Face of America. The Meaning of the Internet and Information Technology. The Impact of Genetic Research, New Drugs, and Advances in MedicalTechnology. TrAnds in Consolidation, Ownership, and Capacity. The Effect of Changes in Public Policy. The Potential of Different Payment System Models. BEYOND MANAGED CARE: SCENARIOS FOR THE FUTURE. Four Health Care Scenarios. Learning from Analysis of the Four Scenarios. References. Index.