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- W2023546716 abstract "The confluence of two important trends—the dramatic growth of managed care and the impending oversupply of physician specialists—is examined by Weiner<sup>1</sup>in this issue ofThe JOURNAL. Enrollment in managed care plans has increased from 12.5 million persons in 1983 to 45 million in 1993.<sup>2,3</sup>This growth will almost certainly continue whether or not the Clinton Health Security Act—or some variant—is enacted, because both the business sector and most state governments believe managed care is less expensive than traditional feefor-service medicine. See also p 222. Though managed care is now a familiar term, it embraces a widely diverse set of organizational and financing arrangements, including such tightly run group practice health maintenance organizations (HMOs) as Kaiser Permanente, looser affiliations of physicians and hospitals that are linked by marketing and payment formulas, and traditional forms of practice that are managed by a corporate third party that attempts to restrain" @default.
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- W2023546716 date "1994-07-20" @default.
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- W2023546716 title "The latest forecast. Managed care collides with physician supply" @default.
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- W2023546716 doi "https://doi.org/10.1001/jama.272.3.239" @default.
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