Insurance Coverage & Costs
Access to Care
Quality & Care Delivery
Health Care Markets
Employers/Consumers
Health Plans
Hospitals
Physicians
Issue Briefs
Data Bulletins
Research Briefs
Policy Analyses
Community Reports
Journal Articles
Other Publications
Surveys
Site Visits
Design and Methods
Data Files
Managed Care Rebound? Recent Changes in Health Plans' Cost Containment Strategies
Aug. 11, 2004
Health Affairs, Web-exclusive
Glen P. Mays, Gary Claxton, Justin White
Large increases in health care costs combined with an economic slowdown have created pressures for health plans and employers to reconsider cost containment strategies that were scaled back after the managed care backlash. This paper examines how plans’ approaches to cost containment and care management have evolved since 2001. Plans reintroduced and refocused some utilization management techniques during 2002 and 2003 while continuing to invest in disease and case management. Some also began to experiment with new variants of managed care, including tiered provider networks and incentive-based provider payments. However, few respondents believed that these strategies alone would greatly reduce future costs.
Free access to this article is available at the Health Affairs Web site.