title: Academic medical centers and the fight for survival in the new era of managed care.
abstract: This article reviews the threatened state of academic medical centers in the new era of managed care. Particular emphasis is given to the onslaught of capitation and risk sharing. Related strategies of quality enhancement, system development, and cost reduction are also discussed.
authors.affiliation: Health System Development and Managed Care, Mount Sinai Medical Center, New York, New York, USA.
authors.forename: R C
authors.initials: RC
authors.lastname: Nauert
mesh_terms: D000046:Academic Medical Centers / Q000191:economics*; D002204:Capitation Fee / Q000639:trends; D003363:Cost Control / Q000639:trends; D017047:Cost Sharing / Q000639:trends; D003695:Delivery of Health Care / Q000191:economics; D005544:Forecasting; D006801:Humans; D008329:Managed Care Programs / Q000191:economics*; D011785:Quality Assurance, Health Care / Q000191:economics; D014481:United States