The following item presents briefly the cost relevant factors in health care in Switzerland. The principal key issues and reasons for managed health care programs are dealt with by recognizing the new health care law. In order to present the central strategies for improvement in managed care from an integral point of view, managed health care is being treated in the context of a widely founded conceptional framework. A very detailed and medically complete as well as performance oriented case statistic of medical treatments is a strategic success and key factor. The author represents the thesis that the given opportunities and micro-management tools could be much more widely used, that they should be extended and that, therefore, the strength of our independent and liberal health care system could be much better integrated in the context of a necessary social acceptance. This shall not only be reached by maximising the individual revenues, but by optimizing structures and increasing organizational effectiveness in medical health care. The existing readiness of the health care suppliers, especially the physicians, to take over responsibility in improving health care outcome is the core to this strategy.