title: Managed competition and the health care crisis.
abstract: The politics of health care reform has created gridlock despite public support for control of increasing costs, expanded coverage, and greater patient satisfaction. Managed care has become the watchword for meeting such goals, despite serious doubts about its ability to succeed. The author examines the pitfalls of managed care, particularly in regard to cost containment and patient satisfaction.
authors.affiliation: Cornell University Medical College, New York, NY 10021, USA.
authors.forename: M L
authors.initials: ML
authors.lastname: Finkel
mesh_terms: D017046:Cost Savings / Q000379:methods; D018166:Health Care Reform / Q000331:legislation & jurisprudence*; D006279:Health Maintenance Organizations / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D006302:Health Services Research; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence; D018854:Managed Competition / Q000331:legislation & jurisprudence*; D017060:Patient Satisfaction; D010818:Practice Patterns, Physicians'; D011243:Preferred Provider Organizations / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D012017:Referral and Consultation; D014481:United States