title: The current health care environment and stages of market development.
abstract: The history of medical payment strategies is reviewed with a historical perspective on the development of the health care system in the United States. The growth of managed care is discussed with sections detailing the effects on and responses of health care providers, the insurance industry, government, consumers, and employers. Current status and future market trends are discussed.
authors.affiliation: Department of Medicine, University of California, Los Angeles, School of Medicine, USA.
authors.forename: B E
authors.initials: BE
authors.lastname: Roth
mesh_terms: D003695:Delivery of Health Care / Q000191:economics / Q000639:trends*; D005762:Gastroenterology / Q000191:economics / Q000639:trends*; D019981:Health Care Sector / Q000639:trends*; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000191:economics / Q000639:trends; D008389:Marketing of Health Services / Q000191:economics / Q000639:trends