title: Managed care in the pediatric subspecialty of neonatology. The challenges, impact, and consequences.
abstract: As our health care system moves toward a more managed competition model, the delivery of pediatric and pediatric specialists' services, especially the intensive and procedural services of neonatology, will be impacted. Pediatricians and pediatric subspecialists cannot avoid being buffeted from the powerful market forces that are now driving revolutionary changes in our health care system; they, like nonpediatric physicians, are often concerned and bewildered about the new realities of the day.
authors.affiliation: Pediatrix Medical Group, Inc., USA.
authors.forename: F V
authors.initials: FV
authors.lastname: Miller
authors.forename: S E
authors.initials: SE
authors.lastname: Barnwell
mesh_terms: D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration*; D018854:Managed Competition; D008484:Medicaid / Q000191:economics / Q000458:organization & administration; D006278:Medicare / Q000191:economics / Q000458:organization & administration; D009359:Neonatology / Q000191:economics / Q000458:organization & administration*; D010372:Pediatrics; D011247:Pregnancy; D011320:Primary Health Care; D012051:Reimbursement Mechanisms; D015895:Relative Value Scales; D014481:United States