Open AccessManaged Consumerism In Health Care
Author(s) -
James C. Robinson
Publication year - 2005
Publication title -
health affairs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.837
H-Index - 178
eISSN - 2694-233X
pISSN - 0278-2715
DOI - 10.1377/hlthaff.24.6.1478
Subject(s) - consumerism , managed care , incentive , business , health care , discretion , competition (biology) , variety (cybernetics) , marketing , public economics , public relations , economics , economic growth , political science , market economy , ecology , artificial intelligence , computer science , law , biology
The future of market-oriented health policy and practice lies in "managed consumerism," a blend of the patient-centric focus of consumer-driven health care and the provider-centric focus of managed competition. The optimal locus of incentives will vary among health services according to the nature of the illness, the clinical technology, and the extent of discretion in utilization. A competitive market will manifest a variety of comprehensive and limited benefit designs, broad and narrow contractual networks, and single-and multispecialty provider organizations.