Health Affairs

Health Affairs, 27, no. 5 (2008): 1362-1370 doi: 10.1377/hlthaff.27.5.1362 © 2008 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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The Transition From Managed Care To Consumerism: A Community-Level Status Report

Jon B. Christianson, Paul B. Ginsburg and Debra A. Draper

This paper assesses the evolving "facilitated consumerism" model of health care at the community level using data from the Community Tracking Study (CTS). We find that in a relatively short time, large employers and health plans have made notable progress in putting the building blocks in place to support their vision of consumerism. However, developments in the CTS communities suggest that the consumerism strategy evolving in local markets is more nuanced than implied by some descriptions of health care consumerism.

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