The managed care backlash is analyzed as a collective behavioral response led by attacks
from threatened professional, provider, and special interest communities. Central to the …

PROLOGUE: Managed care has been described with terms as forceful as “revolution.” Given
the sweeping implications of such a word, a negative reaction is inevitable on the part of …

The focus on managed care and the managed care backlash divert attention from more
important national health issues, such as insurance coverage and quality of care. The …

PROLOGUE: California represents a lively laboratory, in which issues that eventually
concern the whole nation are worked through in a colorful, often contentious fashion. This is …

Most evidence indicates that the poor in HMOs utilize services to about the same extent as
do middle-class enrollees. Early experience in California, however, cautions that abuse can …

Objective. To describe how the organization and dynamics of health systems changed
between 1999 and 2001, in the context of expectations from the mid‐1990s when managed …

Prologue: As managed care continues to spread, some consumers feel that their voices are
not being heard. Insurers and providers have the financial resources and incentives to …

Health care reform focuses on cost containment, which in turn focuses on managed care
organizations (MCOs). MCOs use strict utilization review and financial risk-shifting to assure …

On the heels of widespread patient protection legislation in the states, the managed care
industry abandoned or greatly scaled back the core elements of gatekeeping, utilization …

Employers can play an important role in shaping community health care systems through
their direct efforts to institute system change, their negotiations with health plans, and their …