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Reportlinker Adds Global Managed Health Care Services Industry

NEW YORK, Oct. 16 /PRNewswire/ -- announces that a new market research report is available in its catalogue.

Reportlinker Adds Global Managed Health Care Services Industry

The global outlook series on Managed Health Care Services provides anecdotes, market briefs, and concise summaries of research findings. The report analyzes the growth drivers and market challenges, and reviews the noteworthy strategic corporate activity of the recent past. The report also discusses various types of managed care organizations and programs. A detailed review of the United States market is provided in the report, along with brief discussions on European, Hong Kong, and Nigerian markets. Also included is an indexed, easy-to-refer, fact-finder directory listing the addresses, and contact details of 310 companies worldwide.


Market Overview1

Quick Facts 1

Recession Hits Managed Care1

Factors Impacting Managed Care Market 1

Health Care Expenditure in Developed Nations 2

Health Care System in Developing Countries 2

Affordability and Equitable Access Ensures Balanced Health Care 2

Government Initiatives 3

Sustainability Helps to Strike a Balance 3


Managed Health Care - A Conceptual Definition3

Benefits 4

Managed Health Care - Historical Perspective 4

Managed Care Organizations (MCOs)5

Managed Care Services for Healthcare Providers 5

Cost Reducing Managed Care Techniques 5

Managed Care Approaches 5


Types of Network-Based Managed Care Programs 6

Health Maintenance Organizations (HMOs) - An Introduction 6

Features of HMOs 6

History of Health Maintenance Organizations6

Types of HMOs7

Primary Care Physician (PCP) 7

Staff/Group Model HMOs 7

Fee for Service Plan (FFS) 7

Independent or Individual Practice Association (IPA) 7

Preferred Provider Organizations (PPO)7

Point-Of-Service Plans (POS) 8

Other Managed Care Programs8

Physician-Hospital Organizations (PHOs) 8

Different PHO Structures 8

Prescription Drug Programs9

Dental Specialty Programs 9

Managed Care Under Indemnity Insurance Plans9

Stop Loss Arrangements 9

Mixed or Network Model HMO9

Exclusive Provider Organization (EPO) 9

Consumer Driven Health Plans (CDHPs) 9





Managed Care Market - An Outlook 22

US Health Care Industry - An Overview 22

Table 1: Health Care Expenditure in the US - Annual Figures

in US$ Trillion for Year 2008 through 2012 23

Table 2: Health Care Market in the US (2008): Percentage

Share Breakdown of Expenditure by Health Care Segment 23

Health Care Costs Continue to Escalate24

Challenges Faced by the US Healthcare Industry 24

Medical Costs - Future Growth 24

Table 3: Managed Care Medical Costs in the US: Percentage

Growth of by Category (2008) 24

Table 4: Health Care Market in the US (2008): Percentage

Breakdown of Medical Costs by Category 25

A Peek Into Noteworthy Trends & Issues 25

Economic Recession and Managed Care Market 25

Stimulus Bill Offers a Promise or a Threat?25

Managed Care Medicaid Enrollments Improve 26

Table 5: Managed Care Market in the US (2008): Percentage

Breakdown of Enrollments by Plan Type26

Table 6: Number of Managed Care Enrollments in the US by

State (2008) (In Million) 27

Table 7: Managed Care Market in the US (2008): Leading PPO

Networks Ranked by Number of Lives with Network Access (In

Million) (In Million) 28

Rising Rate of Unemployment Impacts Managed Care 28

Medicaid Managed Care - Major Care Delivery System28

Commercial Enrollment Remains Challenging 29

Table 8: Percentage of Managed Care Providers Offering

Health Benefits in the US (2005-2008)29

Table 9: Managed Care Market in the US (2009E): Number of

Enrollments by Health Plan (In Million) 30

Rising Costs of Health Care for Employers 30

Employers Strategize to Reduce Operating Costs 30

Insurance Companies Turn to Managed Care 31

Competition 31

Table 10: Managed Care Market in the US (2008): Percentage

Share Breakdown of Total Enrollments by Provider 31

Large Health Plans Dominate Managed Care Market 32

Table 11: Managed Care Market in the US by Number of MCOs

and Number of Health Plan Members (2008) 32

Table 12: Managed Care Market in the US (2008): Number of

Health Plan Members by Health Plan 33

HMO Market - An Overview 33

Competitive Landscape 33

Table 13: Managed Care Market in the US (2008): Number of

HMO Enrollments by Leading Health Plans (In Million) 34

Disease Management Programs Propel HMOs Growth 34

Table 14: Percentage of HMOs Offering Disease Management

Programs in the US by Disease Type 35

Reinsurance Market Overview35

Provider Excess Market 35

Dental Managed Care Market 36

Competitive Scenario36

2. EUROPE 36

Healthcare Market - An Overview 36

Managed Care Market 37

Market Features 37

Corporate Layoffs Deter Managed Care Growth 37


Market Overview37

Table 15: Managed Care Market in Hong Kong (2008): Percentage

Share Breakdown of Compensation to Physicians (Operating

Individually) by Type 38

Table 16: Managed Care Market in Hong Kong (2008): Percentage

Share Breakdown of Compensation to Physicians (Working in

Group) by Type38

Growth Driving Factors 39

MCOs Devise Newer Strategies 39

Other Strategies 39

Market Challenges 39

Managed Care Facing Backlash 40

Lack of Government Support Hampers Growth 40

The Need to Establish a Regulatory Body 40

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Reportlinker Adds Global Managed Health Care Services Industry

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    Nicolas Bombourg
    US: (805)652-2626
    Intl: +1 805-652-2626

SOURCE Reportlinker

SOURCE Reportlinker
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