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| Christopher
T. Erb |
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Home
Institution
University of Illinois at Urbana-Champaign
Host
Institution(s)
European Center for Comparative Government and Public Policy (Humboldt
University, Technical University & Freie University)
Mentors: Prof. Dr. Klaus-Dirk Henke (ECCGPP), Prof. Dr. Robert
F. Rich (UIUC)
E-Mail:
cerb@uiuc.edu
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Research
Topic
see Abstract |
Personal
Reactions to the German Experience
This was a wonderful opportunity for me to meet and work with German faculty
members and my student counterparts in Berlin. Unfortunately, my German
friends' English was so good that I was not able to practice my limited
German skills, and my speaking ability did not improve very much while I
was there. I appreciated seeing the similarities and the differences between
the American and German academic environments, and I look forward to future
collaboration with my colleagues at both the European Centre for Comparative
Government and Public Policy and at Charite Medical School. |
Greatest
Difficulties Encountered
After settling into my apartment and learning my way around the Berlin bus
and subway system, there were really no difficulties. I did miss the late-night
bus on a few occasions, which made for a long walk home from the office
at 1 o'clock in the morning! The short duration of my stay in Berlin made
it difficult for me to develop a strong working relationship with my colleagues
there, but I have been pleased to stay in contact with them and continue
working on related projects since my return to the U.S. |
Helpful
Hints for Future Students
Be flexible, expect the unexpected, get to know people, and have fun. And
definitely take advantage of being in the company of bright, hard-working,
and well-known colleagues. I had as many interest-ing personal conversations
as I did professional ones. Also, remember that grocery stores close early
in Berlin and aren't open at all on Sundays. So if you want to eat, plan
ahead!! |
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| Abstracts
on Research Topics |
| Project
I: Should Germany Look to the U.S. for Solutions to Its Health Care Financing
Woes? |
Authors:
Christopher T. Erb, Robert F. Rich |
Institution:
European Center for Comparative Government and Public Policy & University
of Illinois at Urbana-Champaign |
Abstract:
Rising costs of health care throughout Europe, especially in Germany, are
forcing policymakers to look for new alternatives to the current system.
They have begun to explore strategies that have been employed in the United
States, Australia and elsewhere for many years, including managed care-like
tools, utilization review and prospective payment systems. These changes
bring the German model closer to the U.S. model, and make the comparison
of their respective systems more relevant than they have ever been. The
extent to which these health reform initiatives will be successful in Germany
depends on a number of political, economic, and cultural factors. This study
describes the historical development of and the issues raised by the export
of managed care to Germany. I find factors in favor of the successful adoption
of managed care in Germany, and as many factors that mitigate against that
success. Specifically, a long history and general acceptance of privatization
of the health care sector, acknowledged overcapacity of the current system,
acceptance of the regulatory structure required to make managed care palatable
to the public, and the political will to change the system are all factors
that would support the successful adoption of managed care. Concerns about
quality of care and restrictions on choice, coupled with existing federal
regulations and already low health care prices are factors that will limit
the potential success of managed care in Germany. On balance, it is likely
that a number of managed care-like techniques will be adopted by the German
health care system, but it is unlikely that a fundamental restructuring
of that system will be undertaken or that such a system will resemble managed
care as it has been known in the U.S. Finally, the study examines the relevance
of the reform path in Germany to that of other European countries and finds
an additional dilemma posed by the desire to integrate health services across
the countries of the European Union. |
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| Project
II: The Two Faces of Managed Care Regulation And Policy-Making |
Authors:
Robert F. Rich, Christopher T. Erb |
Institution:
University of Illinois at Urbana-Champaign & European Center for Comparative
Government and Public Policy |
Abstract:
Over 90 percent of all persons with employer-based health insurance coverage
in the United States are enrolled in a managed care plan. Only a decade
earlier, fewer than three out of 10 people with health insurance coverage
were enrolled in such plans. There has, however, been a strong backlash
from consumers and providers against managed care, and it has even been
labelled as the "pariah" of the early 21st century. During the same time
period, the federal government was encouraging, and in some cases even mandating,
the use of managed care principles and practices. |
| This paper
argues that the legal and public policy response to managed care has produced
two faces of federal and state policy-making and regulation. These two faces
are characterized by support for the implementation of managed care plans
through statutes (primarily at the federal level), executive orders, and
court decisions on the one hand, and restrictive regulations, legislative
initiatives (primarily at the state level) and court decisions which constrain
the use of these management practices, on the other hand. |
| Through empirical
examination of statutes, regulations, and court decisions, we document inconsistent
and often contradictory actions across levels and branches of government.
We find that some of the promise of managed care theory has been realized.
Managed care law and public policy has, however, severely limited the effectiveness
of managed care theory. We conclude that in the context of the two faces,
we cannot determine if our nation's experiment with managed care has succeeded
or failed. |