title: Managed care: a foundation for evolution.
abstract: An examination of the history of managed care organization over the past 30 years, in both private and public sectors, forms the basis for evaluating the success of such programs in meeting the expectation of both physicians and consumers. The authors point to areas that must receive special attention if managed care organizations are to satisfy the quality and cost demands of the future.
authors.affiliation: Health Care Financing Administration, Department of Health and Human Services, Washington, DC, USA.
authors.forename: C C
authors.initials: CC
authors.lastname: Boesz
authors.forename: R C
authors.initials: RC
authors.lastname: Armstead
authors.forename: B
authors.initials: B
authors.lastname: Vladeck
mesh_terms: D002204:Capitation Fee; D003363:Cost Control; D005544:Forecasting; D006279:Health Maintenance Organizations / Q000331:legislation & jurisprudence; D006297:Health Services Accessibility; D006302:Health Services Research; D049673:History, 20th Century; D008329:Managed Care Programs / Q000266:history* / Q000458:organization & administration / Q000706:statistics & numerical data / Q000639:trends; D008484:Medicaid / Q000458:organization & administration; D006278:Medicare / Q000458:organization & administration; D011787:Quality of Health Care; D012308:Risk Management; D013221:State Health Plans; D014481:United States