Reform in Washington state.
The Washington State Healthcare Reform Act of 1993 is in the early stages of implementation. The barriers to implementation and the impacts on HMOs like GHC are an example of the types of issues that will be faced (or are being faced) by other similar organizations throughout the country. The most dramatic observation is that the pace of change is far more rapid than our organization has experienced in recent years; and that pace of change is likely to continue for years to come.
Group Health Cooperative of Puget Sound, Seattle, WA 98121.
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Rubenstein
D016536:Competitive Medical Plans / Q000191:economics / Q000331:legislation & jurisprudence*; D005381:Financing, Organized / Q000331:legislation & jurisprudence; D006264:Health Benefit Plans, Employee / Q000331:legislation & jurisprudence; D018166:Health Care Reform / Q000191:economics / Q000331:legislation & jurisprudence*; D006279:Health Maintenance Organizations / Q000191:economics / Q000639:trends; D008329:Managed Care Programs / Q000191:economics / Q000331:legislation & jurisprudence; D013221:State Health Plans / Q000191:economics / Q000331:legislation & jurisprudence*; D014481:United States; D014861:Washington