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- W2085994207 abstract "NE WOULD HAVE to be a total recluse (or have been shipwrecked on a deserted island) for the past 20 years not to have heard time and time again that the cost of medical care in the United States is too high and getting higher. Whether one believes health care costs are truly increasing--no matter how much we would like to discover some day that it all has been an evil plot designed and perpetrated by a faceless secret organization-providers who practice medicine in the present world must deal with the present reality. And that present reality is managed care medicine. Perhaps the managed care conspiracy theorist may one day have the last laugh. The health maintenance organization (HMO) in its present incarnation has as its origins a number of influential nonmedical economic scholars and lawmakers who saw it as their crusade to solve uncontrolled health care expenditures, fragmentation, and lack of accountability. ''1 They successfully sponsored the HMO Act of 1973, which provided grant funding and a regulatory structure for HMO development, opening the floodgates for what we all live with today. The final nail in the coffin of traditional fee-forservice followed with the 1975 Supreme Court Decision rejecting the exemption of the learned professions from antitrust laws and the enactment of a law in California in 1982 that legalized preferred provider insurance. Naturally, these changes had the overt and covert support from the HMO industry. In its most essential definition, managed care can be characterized as selective health care providers contracting for prespecified health care benefits. In other words, the integration of the financing of health care with the delivery of health" @default.
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- W2085994207 title "Do clinical pathways improve efficiency?" @default.
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