title: The primary care physician and managed care.
abstract: I have explored the major options open to PCPs. There are multiple variations on these themes. While the Connecticut market is fluid, one thing is clear, the solutions will vary from place to place. Health-care reorganization is a local phenomenon. Individual doctor groups can have a major influence on the direction of their local market. The future is uncertain, but whatever happens in Connecticut it will be evolutionary. PCPs must understand the realities of the current marketplace and plan a strategy to work with those realities to achieve their long-term goals. The choices we make today will have ramifications flowing far into future decades. PCPs and their patients will have to live with the consequences of these decisions. Please choose wisely.
authors.affiliation: Yale University School of Medicine, New Haven, USA.
authors.forename: R J
authors.initials: RJ
authors.lastname: Mangi
mesh_terms: D003237:Connecticut; D003284:Contract Services / Q000458:organization & administration; D017048:Health Care Costs; D006801:Humans; D008329:Managed Care Programs / Q000145:classification / Q000191:economics*; D020443:Practice Valuation and Purchase / Q000191:economics*; D011320:Primary Health Care / Q000458:organization & administration*; D014481:United States