A formula for successfully competing in non-US health insurance markets.

Many insurers in non-US markets are experiencing difficulties in developing managed care strategies to combat increasing medical costs. Some attempts to transport managed care techniques outside of the US have failed. Although it is difficult to determine the exact causes of failure, some common threads exist. When these common characteristics are explored, fundamental building blocks will emerge. When introduced, these fundamentals can lead to increased efficiency, thereby paving the way to successful managed care development in non-US markets.