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Previous Volume 344:1087-1092 April 5, 2001 Number 14 Next

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

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Managed care now dominates health care in the United States. By 1999, only 8 percent of persons with employer-sponsored health insurance coverage had traditional indemnity insurance.¹ This reflects a sea change in the past two decades — not just in the financing of health insurance but also in the way medicine is practiced.

The rapid growth of managed care is not primarily due to enthusiasm for this approach on the part of patients or providers. Patients have had mixed reactions to managed care; they like the low copayments and reduced paperwork but view some managed-care practices as emphasizing cost control . . . [Full Text of this Article]

Evolution of Managed Care

Effects of Managed Care

Effect on Providers

Effect on Patients

Responses to Managed Care

Physicians and Medical Groups

Employers

Government

The Future

Conclusions

Source Information

University of California, San Francisco
San Francisco, CA 94118

References

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