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...

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...

Recent healthcare reforms have sought to increase efficiency by introducing managed care (MC) as an alternative to conventional care. This article proposes an institutional change designed to let German consumers choose between the two settings through directing payments from the Federal Health...