Abstract By 1993, over 70% of all Americans with health insurance were enrolled in some
form of managed care plan. The term managed care encompasses a diverse array of …

Prologue: One of the most rapidly growing segments of the managed health care market is
the insurer-owned managed care plan. Although health maintenance organizations (HMOs) …

Prologue: More than any other single figure, Alain Enthoven is responsible for establishing
and promoting the ideas that are the intellectual underpinnings of America's rapidly …

Prologue: Ever since Adam Smith published The Wealth of Nations, economists have
lauded the benefits of free, competitive markets. Even today the basic idea underlying much …

Prologue: Many legislative proposals to reform the health care system promote expansion of
managed care as the best current hope to control health care costs. Private employers have …

This article provides an overview of managed health care in the USA-what has been
achieved and what has not-and some lessons for policy-makers in other parts of the world …

Integrating the health services and insurance industries, as health maintenance
organizations (HMOs) do, could lower expenditure by reducing either the quantity of …

Prologue: One of the current realities of health policy making is that anecdotes far outweigh
solid evidence when it comes to shaping the attitudes of people in relation to the …

Throughout this paper managed care is defined broadly to include coverage provided by all
organizations that accept financial risk and exert substantial administrative control over …

Managed care is a key feature of most health care reform proposals. The policy debate over
health care reform has tended to focus on issues of health care financing and purchasing …