Managed Care

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Abstract

Managed care is a strategy for organizing the delivery of health-care services. It comprises a set of management tools, many of which draw on public health concepts. Managed care has a long history in the United States, and is increasingly becoming an element in European health-care systems, as well as in middle-income and developing countries. Most studies find that managed care tools can reduce costs, but the effects of managed care on quality are less clear.

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Sherry Glied is Dean of New York University's Robert F. Wagner Graduate School of Public Service. From 1989 to 2013, she was Professor of Health Policy and Management at Columbia University's Mailman School of Public Health, and served as Chair of that Department from 1998 to 2009. On 22 June 2010, Glied was confirmed by the U.S. Senate as Assistant Secretary for Planning and Evaluation at the Department of Health and Human Services, and served in that capacity from July 2010 through August 2012. She had previously served as Senior Economist for health care and labor market policy on the President's Council of Economic Advisers in 1992–1993, under Presidents Bush and Clinton, and participated in the Clinton Health Care Task Force. She has been elected to the Institute of Medicine of the National Academy of Sciences, the National Academy of Social Insurance, and the Board of AcademyHealth, and has been a member of the Congressional Budget Office's Panel of Health Advisers. Glied's principal areas of research are in health policy reform and mental health care policy. Her book on health care reform, Chronic Condition, was published by Harvard University Press in January 1998. Her book with Richard Frank, Better But Not Well: Mental Health Policy in the U.S. since 1950, was published by The Johns Hopkins University Press in 2006. She is coeditor, with Peter C. Smith, of The Oxford Handbook of Health Economics, which was published by the Oxford University Press in 2011. Glied holds a BA in economics from Yale University, an MA in economics from the University of Toronto, and a PhD in economics from Harvard University.

Katharina Janus, PhD, MBA, is Professor of Healthcare Management at Ulm University, Germany, and the Director of the Center for Healthcare Management, an international research center at the Department of Health Policy & Management, Columbia University, New York, USA. She also heads the “Care-Tank”, the Center's think-tank and platform for innovation, and holds an appointment at Columbia University, New York, USA. Prof. Janus focuses her research on the design and implementation of monetary and non-monetary incentive systems in healthcare organizations as well as on the assessment of innovative medical/management interventions and their impact on performance in various healthcare systems and organizations. As a healthcare manager in research and practice she puts a strong emphasis on managing the human side of healthcare delivery in the new age of care management – formerly known as “managed care.” She has been the principal investigator of several international studies on physician motivation and professional culture in collaboration with the Hannover Medical School, the University of California at Berkeley and Stanford University, USA. Additionally, Prof. Janus has been involved in political advisory councils and managed care projects on a national and international level. She also serves as a member of the board of Allianz health insurance, Munich, Germany.

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