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 328:1208-1212 April 22, 1993 Number 16 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.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

What is "managed competition," the blueprint for reforming the health care system that has been endorsed by President Bill Clinton and key elements of which former president George Bush incorporated into the scheme he introduced last year? As applied to practitioners, its central idea is to divide physicians and hospitals into competing economic units, called "accountable health partnerships," that would contract with insurance-purchasing cooperatives to provide standardized packages of medical benefits for fixed per capita rates. Thus, managed competition would hasten the demise of fee-for-service payment, require providers to bundle their care into defined benefit plans, and by remunerating providers . . . [Full Text of this Article]

Context

Evolution

Structure

Advocates and Opponents

Private Interests

References

This article has been cited by other articles:

• Shahian, D. M., Yip, W., Westcott, G., Jacobson, J. (2000). Selection of a cardiac surgery provider in the managed care era. J. Thorac. Cardiovasc. Surg. 120: 978-989 [Abstract] [Full Text]  
• Kuttner, R. (1997). Physician-Operated Networks and the New Antitrust Guidelines. NEJM 336: 386-392 [Full Text]  
• Emanuel, E. J., Emanuel, L. L. (1997). Preserving Community in Health Care. Journal of Health Politics, Policy and Law 22: 147-184 [Abstract]  
• Stajduhar, P., Deneselya, J. A., Rajachar, M., Werner, G., Kennard, D. W., Klingensmith, J. M. (1996). Alternative Tertiary Care Pathways for a Rural Department of Veterans Affairs Medical Center. American Journal of Medical Quality 11: 146-150 [Abstract]  
• Puma, J. L. (1994). Anticipated Changes in the Doctor-Patient Relationship in the Managed Care and Managed Competition of the Health Security Act of 1993. Arch Fam Med 3: 665-671 [Abstract]  
• Bowman, M. A. (1994). Family Physicians in US Health Care Reform. Arch Fam Med 3: 26-28 [Abstract]  
• Iglehart, J. K. (1993). Community Hospitals. NEJM 329: 372-376 [Full Text]  
• Angell, M. (1993). How Much Will Health Care Reform Cost?. NEJM 328: 1778-1779 [Full Text]