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Previous Volume 333:1019-1023 October 12, 1995 Number 15

	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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When health care costs were of little concern and ready access was the only issue, the 6 medical schools, 80 teaching and community hospitals, and 14,000 doctors in Greater Philadelphia were a prized local asset. But now, many of these providers are threatened financially as managed-care plans drive down prices, squeezing the cross-subsidies that support medical education, and a surplus of medical specialists finds less demand for specialty services. The area's two dominant health insurers, competing to increase the number of people who buy their managed-care products, are driving these changes. In this report, I discuss Philadelphia's evolving market and . . . [Full Text of this Article]

The Evolution of a Market

Health Insurance and Business

The Challenge to Academic Medicine

References

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• Iglehart, J. K. (1996). The Struggle to Reform Medicare. NEJM 334: 1071-1075 [Full Text]  
• Weston, B., Lauria, M. (1996). Patient Advocacy in the 1990s. NEJM 334: 543-545 [Full Text]