Since the early 1990s, policy analysts seeking important opportunities for reform in the
Medicare program have looked at the experience of private mar-kets and managed care in …

The managed care industry is at a crossroads. Belief in the ability of market forces alone to
create an environment fostering quality health care at lower cost is eroding. Regulators …

Managing health care costs, in general, and stemming inappropriate and unnecessary
services, in particular, have been a problem for over two decades. Employers, aware that …

Prologue: When auditors for the Department of Health and Human Services announced
recently that the Medicare program had overpaid an estimated 23billionin1996 …

The demise of the debate over comprehensive health care reform in 1994 spawned several
innovations in the organization and delivery of health care. Topping the list is the growth in …

A primary goal of many Medicare reform proposals is to move program beneficiaries into
managed care plans operated by private insurance companies. Advocates contend that …

The stunning rise of managed care within the past decade has radically transformed health
care delivery in the United States from a cottage industry largely controlled by physicians …

The claim of this Article is that the concept of" managed care," like many concepts now
prominent in commentary about medical care finance and delivery in the United States, is …

Between 1996 and 2002, nearly 900 bills introducing some form of regulation of managed
care organizations (MCOs) were introduced in legislatures across the country and at least …

Medicare has had a negative impact on health care quality. By the time Congress created
Medicare in 1965, research had demonstrated many US physicians and hospitals were …