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Biomedical subjects

S MacStravic

Publications and source records attributed to S MacStravic.

At least 37 records · Page 2Linked to original sources
PubMed1998

Who's your best customer?

Conventional wisdom holds that the best customers and prospects for managed care are the healthiest consumers. This is true only because of the meager extent to which premiums can be adjusted for varying risk among individuals. If a decent health/risk adjustment system were used, the best consumers for managed care to go after would be the highest-risk, highest users of health care, provided only that risk and use can be improved. The healthiest consumers have both the least potential for improvement and the least reasons for loyalty.

Capitation Fee↗
PubMed1998

Don't just deliver value, demonstrate it.

Except for the actual duration of an outpatient visit or inpatient stay, hospitals "own" no patients at all. How can population-based performance measures be calculated for a hospital that address the value it has delivered to its patients over the past year?

Consumer Behavior↗
PubMed1998

Promote customer perceptions of value: the ladder of effects.

Seven categories of measures are typically used by managed care organizations (MCOs) in monitoring and evaluating the effects of demand improvement efforts on their own performance: (1) member participation in specific initiatives, (2) changes in member mind-states, (3) member behavior, (4) member health status, (5) member service use, and (6) health care expenditures, as well as (7) a variety of value-adding side effects. These same seven can be even more useful to MCOs in monitoring and demonstrating the value they are delivering to their customers. The potential for the MCOs to extend the use of these parameters and gain added value for themselves thereby are discussed, and specific examples are offered to illustrate this potential.

Consumer Behavior↗
PubMed1997

"Managing" demand: the wrong paradigm.

The "Managing" of demand practiced by managed care organizations has had some success in controlling health care expenditures, but only at great cost in terms of irate consumers, physicians, employers, media, lawyers and legislators. The spate of "HMO Bashing" can be attributed to the use of the wrong paradigm for dealing with consumer, i.e., management. Initiatives intended to avoid, replace and reform demand should use a marketing paradigm, emphasizing the delivering of value to customers. This article provides examples of the wide range of value-adding benefits that well-designed and implemented demand improvement efforts can have for the wide range of customers affected.

Consumer Behavior↗