Avoidable costs of comprehensive case management

Article Abstract:

The use of comprehensive case management in the public health sector is examined from the viewpoint of transaction cost analysis. Comprehensive case management is defined as a multidisciplinary, community-based service intended to augment the utilization of health and social services and to provide concurrent attention to the medical and social needs of individuals within their family and community settings. It is concluded that while case management lessens costs incurred with individual patients, it tends to increase costs to organizations and the entire system when hierarchies and markets falter.

Medical case management

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Controlling America's health care costs via health care futures

Article Abstract:

The Chicago Board of Trade will release a contract on a new class of financial products called health care futures before the end of the 1995 calendar year. Financial practitioners will be able to avail of the new financial product class, which is actually futures contracts on health care insurance. Health insurers will be able to contain their health care costs, which takes up one-seventh of the country's national income, and devise more effective plans with health care futures.

Research, Futures

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Commentary: managed care and the relevant costs for pricing

Article Abstract:

Managers should fully understand the costs for pricing medical services to arrive at correct pricing decisions. Full-cost pricing seeks to cover the full cost and to produce a fair return on overall costs. However, in full-cost pricing, unit costs cannot be determined because they change with volume. In competition-driven pricing, a manager should focus on incremental costs, or the change in total costs resulting from certain decisions.

Medical Services NEC, Other Ambulatory Health Care Services, Managed care plans (Medical care)

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