A marketing solution: managed care woes?

Managed care quarterly Pub Date : 2004-01-01
Scott MacStravic
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Abstract

Two interrelated problems are included among the causes of managed care woes: the dramatic increase in unhealthy lifestyles together with the results these have had on health services utilization and expenditures; and the dramatic increase in consumer demand for "lifestyle" or quality of life (QoL) enhancing products and services. Together these are helping to drive managed care toward a crisis, in both commercial and government-sponsored insurance survival prospects. Aside from the frequently mentioned problem of our aging population and the shifting balance between the number of healthy young workers paying in, vs. unhealthy or older workers spending out, these problems greatly exacerbate the double-digit inflation that has become a recurring characteristic of health insurance premiums, and threaten the very existence of managed care.

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营销解决方案:管理式医疗困境?
管理式医疗困境的原因包括两个相互关联的问题:不健康生活方式的急剧增加及其对卫生服务利用和支出的影响;以及消费者对“生活方式”或提高生活质量(QoL)的产品和服务的需求急剧增加。在商业和政府赞助的保险生存前景方面,这些因素共同推动管理式医疗走向危机。除了经常被提及的人口老龄化问题,以及健康的年轻员工付费与不健康或年龄较大的员工付费之间的平衡变化,这些问题极大地加剧了两位数的通货膨胀,这已经成为医疗保险费的一个反复出现的特征,并威胁到管理式医疗的存在。
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