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PubMed1995

Member satisfaction information as competitive intelligence: a new tool for increasing market share and reducing costs.

MCOs have begun to realize the impact that consumer satisfaction has on enrollment and pricing. Taking a lesson from auto manufacturers, MCOs are now realizing the additional advantages of obtaining consumer satisfaction information about their competitors. Knowing competitors' members intentions to stay or leave their plans, pin-pointing competitors' strengths and weaknesses, and identifying unmet consumer needs, allow MCOs to more successfully develop tactics and strategies for sales, marketing, and planning. This article describes the use of member satisfaction information as competitive intelligence, what to look for in this information, and sources for obtaining reliable information.

Cost Control↗

PubMedDate not supplied

The collaborative competitors.

Explore the source record for details and available documents.

Community Health Planning↗

PubMed1994

Core values in health care reform: a communitarian approach.

Controlling health care costs should allow the nation to provide more health services and higher quality care to more people. The authors are concerned, however, that many of the reform efforts will unwittingly undermine the culture of care in their pursuit of savings and access. This article is a plea to maintain the core moral values and the social and institutional commitments that are essential in the delivery of care, so that the health care community is not turned into a health industry. The authors' communitarian approach aims to preserve the balance between individual rights and social responsibilities, the moral integrity of a caring society, and the unique character of mutual trust between patients and health care personnel. They advocate an orientation toward preventing disease and promoting health, an imperative of reforming the violent, reckless, and costly aspects of American society, and a moral justification for cutting administrative waste, defensive medicine, and excessive profits rather than rationing beneficial and humane health services.

Child↗

PubMed1994

Managing rural health care reform.

Rural health care requires a response system that is unique and substantially different from other, more traditional systems of health care delivery. Any reform of the present rural health care system must offer services that include the public health sector as well as other aspects of the social "safety net." The authors present a vivid picture of the multiple realities operating in the rural environment, and they explore the opportunity for the creation of Accountable Health Plans suitable for the rural health care delivery mechanism.

Health Care Reform↗

PubMed1994

Key challenges posed by the Clinton health care reform proposal.

President Clinton's proposal assumes that the bureaucratic, regulatory, informational, and financial demands it places on the health care system may be feasibly met. The authors refute these assumptions and argue that the proposal restricts individual freedom while it requires less individual responsibility. They also challenge the lack of incentives for cost-conscious purchasing of health care and for taking greater responsibility for individual well-being and societal health. The article recommends that behavior that drives up the cost of health care for individuals and society should be strongly discouraged through disincentives.

Evaluation Studies as Topic↗

PubMed1995

Rehabilitation services in an integrated delivery system.

For rehabilitation providers, managed care means cutting costs 20 percent to 40 percent and responding to a major shift from acute inpatient rehabilitation to subacute, outpatient, and home-based services. By becoming more efficient and joining integrated networks, rehabilitation providers can participate in the continuum of care and align their economic incentives with other providers and HMOs. But in this month's Director's Notebook, rehabilitation leaders also worry that the shorter lengths of stay they must impose could compromise patient recovery.

California↗

PubMed1995