FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 338:1003-1008 April 2, 1998 Number 14

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by Bodenheimer, T. PubMed Citation

During the past 15 years, the U.S. health care system has undergone breathtaking changes. It is no exaggeration to call this process a revolution. Authority was wrested from physicians and hospitals and conferred on health maintenance organizations (HMOs) and other managed-care insurers. The revolutionaries are not the downtrodden — low-income and disabled patients or underpaid hospital and nursing home workers. The revolutionaries are America's multibillion-dollar Fortune 500 companies. They set off the insurrection in the 1980s by inducing or requiring their employees to obtain health insurance from managed-care insurers, especially HMOs. Whether employers will allow power to remain in the . . . [Full Text of this Article]

First Steps toward Cost Control

Channeling Employees into Managed Care

Purchasing Clout in California

Direct Contracting in Minnesota

History

A New Strategy: Direct Contracting

Costs

Employee Choice

This article has been cited by other articles:

• Wenzel, J., Steeves, R. H. (2008). Experiencing Breast Cancer in Managed Care. Qual Health Res 18: 1477-1488 [Abstract]  
• Burns, M. E., Bosworth, T. W., Fiore, M. C. (2004). Insurance Coverage of Smoking Cessation Treatment for State Employees. AJPH 94: 1338-1340 [Abstract] [Full Text]  
• Hurley, R. E., Strunk, B. C., White, J. S. (2004). The Puzzling Popularity Of The PPO. Health Aff (Millwood) 23: 56-68 [Abstract] [Full Text]  
• Mehrotra, A., Bodenheimer, T., Dudley, R. A. (2003). Employers' Efforts To Measure And Improve Hospital Quality: Determinants Of Success. Health Aff (Millwood) 22: 60-71 [Abstract] [Full Text]  
• Pereira, A. G., Pearson, S. D. (2001). Patient Attitudes Toward Physician Financial Incentives. Arch Intern Med 161: 1313-1317 [Abstract] [Full Text]  
• Morreim, E. H. (2001). From the Clinics to the Courts: The Role Evidence Should Play in Litigating Medical Care. Journal of Health Politics, Policy and Law 26: 409-428  
• Mrotek, D. D. (2001). The Drama of Dysfunction: Value Conflict in US Managed Care. Human Relations 54: 147-172 [Abstract]  
• Fraser, I., McNamara, P. (2000). Employers: Quality Takers or Quality Makers?. Med Care Res Rev 57: 33-52 [Abstract]  
• Stone, D. A. (2000). United States. Journal of Health Politics, Policy and Law 25: 953-958  
• Penson, R. T., Dignan, F. L., Canellos, G. P., Picard, C. L., Lynch, T. J. Jr. (2000). Burnout: Caring for the Caregivers. The Oncologist 5: 425-434 [Abstract] [Full Text]  
• Curry, S. J. (2000). Organizational Interventions To Encourage Guideline Implementation. Chest 118 : 40S-46S [Abstract] [Full Text]  
• Bodenheimer, T. (2000). California's Beleaguered Physician Groups -- Will They Survive?. NEJM 342: 1064-1068 [Full Text]  
• Bodenheimer, T. (2000). Disease management in the American market. BMJ 320: 563-566 [Full Text]  
• Eisenberg, L. (1999). Whatever Happened to the Faculty on the Way to the Agora?. Arch Intern Med 159: 2251-2256 [Full Text]  
• Secker-Walker, R. H., Vacek, P. M., Hooper, G. J., Plante, D. A., Detsky, A. S. (1999). Screening for Breast Cancer: Time, Travel, and Out-of-Pocket Expenses. JNCI J Natl Cancer Inst 91: 702-708 [Abstract] [Full Text]  
• Light, D. W. (1999). Good Managed Care Needs Universal Health Insurance. ANN INTERN MED 130: 686-689 [Abstract] [Full Text]  
• Carrasquillo, O., Himmelstein, D. U., Woolhandler, S., Bor, D. H. (1999). A Reappraisal of Private Employers' Role in Providing Health Insurance. NEJM 340: 109-114 [Abstract] [Full Text]  
• Iglehart, J. K. (1999). Expenditures. NEJM 340: 70-76 [Full Text]