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Integrating Care: A Talk With Kaiser Permanentes David Lawrence
Goldsmith: Managed care is supposed to be "over," and yet the Kaiser Permanente system continues to grow. Whats wrong with this picture?
Lawrence:
What is over is the effort to invade medical care delivery by the payers, which was doomed from the start. The amazing thing to me is the speed with which those companies that called themselves managed care companies have retreated. They probably moved more quickly than the Taliban leaving Kabul. I think that the idea of using economic leverage as a means to change health care delivery was really a doomed strategy. There was a period in the mid-1990s Goldsmith:Lawrence:Goldsmith:Lawrence:Goldsmith:Lawrence:Goldsmith:Lawrence:
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