Health Affairs, 23, no. 2 (2004): 28 doi: 10.1377/hlthaff.23.2.28 © 2004 by Project HOPE	New Online   Pay Cuts For Medicare Docs   Access To Care Woes   Public Coverage More Efficient   Empowering Consumers

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Managed Care

PROLOGUE

The Managed Care Evolution

PROLOGUE: America’s stormy romance with the health maintenance organization (HMO) reflects all the contradictions inherent in the U.S. health care system. Americans want cheaper health care, yet they want wider choice. They want to eliminate waste, yet they bristle against mandatory preauthorization of care. They want high-quality, proven health care treatment, yet they reject practice guidelines issued by insurers. The following three papers document the main health care story of the 1990s—managed care’s rise to prominence and fall from glory—and the institutions that either caused or suffered from the changing favor.

Georgetown University law scholar Gregg Bloche and Harvard University . . . [Full Text of this Article]

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