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Book Review
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Volume 341:1940-1941 December 16, 1999 Number 25
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Managed Care and the Inner City: The uncertain promise for providers, plans, and communities

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By Dennis P. Andrulis and Betsy Carrier. 191 pp. San Francisco, Jossey–Bass, 1999. $41.95. ISBN 0-7879-4623-0.

Can managed care improve health care for the tens of millions of Americans living in our inner cities? The authors of this book believe that it can. Although they describe thoroughly the ways that managed care has thus far failed to realize this promise, they propose a marriage of the "efficiencies and expertise" of managed care with the experience and commitment of traditional safety-net providers. After reading this succinct, well-researched analysis, we were left wondering whether something more than the authors' marriage counseling will be needed to change the dynamics of this turbulent relationship.

Introducing the challenge are the brief . . . [Full Text of this Article]




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