title: Intensive care.
abstract: America's teaching hospitals are world-renowned for their medical know-how. But they're being thrown for a loop by cost-conscious managed care plans and leaner federal budgets.
authors.forename: M W
authors.initials: MW
authors.lastname: Serafini
mesh_terms: D000046:Academic Medical Centers / Q000191:economics* / Q000458:organization & administration; D002140:California; D005544:Forecasting; D017721:Hospital Costs; D006784:Hospitals, Teaching / Q000191:economics*; D007396:Internship and Residency / Q000191:economics; D008329:Managed Care Programs / Q000639:trends; D008489:Medical Indigency; D006278:Medicare / Q000639:trends*; D012941:Social Responsibility; D014146:Training Support / Q000639:trends; D017664:Uncompensated Care / Q000191:economics; D014481:United States