American medicine is on the right track

Article Abstract:

Physician-operated health care organizations will probably come to dominate the American health care system. Many physicians have decried the cost-cutting measures of managed care systems, but most have learned that medicine can be practiced more cheaply without seriously compromising patients' health. For-profit HMOs will probably disappear, since physician-run organizations have no shareholders and thus can provide less expensive care. However, these organizations can learn much from HMOs about how to provide inexpensive but good quality health care.

Medicine, Health care reform

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Managed care and the competitive market in health care: what they can and cannot do

Article Abstract:

It is unlikely that managed care will be able to fulfill its promise of providing quality health care at a reasonable cost. Although the introduction of managed care resulted in a reduction in insurance premiums, this may have been a one-time savings as employees switched from fee-for-service to managed care. Managed care has not reduced the oversupply of hospital beds or the projected oversupply of physicians. Some observers believe insurance premiums will begin to rise again. This may be an inevitable consequence of the aging of the US population.

Medical care, Cost of, Health care costs

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Managed care: a product of market dynamics

Article Abstract:

Managed care has its origins in the desire of many employers to reduce their health care premiums. When Congress included outpatient benefits in the Medicare legislation, employers saw this as a way of reducing their costs and quickly adopted it. Employers also adopted the selective contracting first developed by a state Medicaid program, MediCal. Managed care has succeeded in reducing costs, but unless employees receive good health care benefits, the outcome of managed care could hang in the balance.

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