Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/93537
Authors: 
Ehlert, Andree
Oberschachtsiek, Dirk
Prawda, Stefan
Year of Publication: 
2013
Series/Report no.: 
University of Lüneburg Working Paper Series in Economics 284
Abstract: 
The major German health care reforms undertaken since the late 1990s resulted in the adoption of selective contracting mechanisms in a formerly sectorally separated health care system. These reforms marked the launch of managed care in Germany that is expected to yield both a higher quality of care and cost containment. We investigate if managed care had an in uence on the structure of health care expenditure in Germany during the start-up phase of managed care from 2004 to 2008. We focus on pharmaceutical spending by statutory sickness funds (i.e. German law-enforced health insurance). We followed a macroeconomic evaluation approach based on a regional panel data set in contrast to previous research and were thus able to control for a comprehensive set of regional and demographic variables. We discuss alternative model specifications and include a range of sensitivity analyses. Our results suggest that in contrast to public perception the share of managed care contracts has a positive impact on pharmaceutical spending.
Subjects: 
Managed care
Health care expenditure
Pharmaceutical expenditure
Panel data
German health care reform
JEL: 
I11
I18
L14
O52
Document Type: 
Working Paper

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