Cost containment and managed care: Evidence from German macro data

Arbeitspapier

The major German health care reforms undertaken since the late 1990s resulted in the adoption of selective contracting mechanisms in a formerly sectorally separated health care system. These reforms marked the launch of managed care in Germany that is expected to yield both a higher quality of care and cost containment. We investigate if managed care had an in uence on the structure of health care expenditure in Germany during the start-up phase of managed care from 2004 to 2008. We focus on pharmaceutical spending by statutory sickness funds (i.e. German law-enforced health insurance). We followed a macroeconomic evaluation approach based on a regional panel data set in contrast to previous research and were thus able to control for a comprehensive set of regional and demographic variables. We discuss alternative model specifications and include a range of sensitivity analyses. Our results suggest that in contrast to public perception the share of managed care contracts has a positive impact on pharmaceutical spending.

Angaben zum Objekt

• Sprache: Englisch

Verweise und Beziehungen

• Erschienen in: Series: Working Paper Series in Economics ; No. 284

Klassifikation und Themen

• Klassifikation: Wirtschaft ; Analysis of Health Care Markets ; Health: Government Policy; Regulation; Public Health ; Transactional Relationships; Contracts and Reputation; Networks ; Economywide Country Studies: Europe
• Thema: Managed care ; Health care expenditure ; Pharmaceutical expenditure ; Panel data ; German health care reform

Beteiligte, Orts- und Zeitangaben

• Ereignis: Geistige Schöpfung
• (wer): Ehlert, Andree ; Oberschachtsiek, Dirk ; Prawda, Stefan
• Ereignis: Veröffentlichung
• (wer): Leuphana Universität Lüneburg, Institut für Volkswirtschaftslehre
• (wo): Lüneburg
• (wann): 2013

Weitere Informationen

• Handle: http://hdl.handle.net/10419/93537
• Letzte Aktualisierung: 10.03.2025, 11:45 MEZ