title: Challenges for physician executives in the millennium marketplace.
abstract: There will be fundamental change in the Millennium, but not enacted in Washington, D.C. American health care is entering the "post-Managed Care" era in which payers, providers, plans, and patients reconstruct a new, more efficient, and, ultimately, more satisfying health care delivery system. The Millennium landscape of this evolving marketplace will be characterized by the following trends: (1) The "Age Wave" will boost demand: (2) There will be a push from technology; (3) Public/private health reform will be enacted; (4) Employers will use clout; (5) Direct provider contracting will prevail; (6) Government will regulate managed care organizations; (7) Managed Medicare/Medicaid will be restructured; (8) There will be a health plan shakeout; (9) Providers will "push back"; (10) Doctors will get organized; (11) Providers will assume risk; (12) "Report cards" will be widespread; (13) Managing clinical performance will be the core business of providers; and (14) Health consumers will be informed and Internet savvy.
authors.affiliation: Superior Consultant, Southfield, MI, USA. Russell_Coile@superiorconsultant.com
authors.forename: R C
authors.initials: RC
authors.lastname: Coile
mesh_terms: D000368:Aged; D003256:Community Participation; D003695:Delivery of Health Care / Q000191:economics / Q000592:standards / Q000639:trends*; D005544:Forecasting; D018166:Health Care Reform / Q000639:trends; D019981:Health Care Sector / Q000639:trends*; D006801:Humans; D020407:Internet; D008329:Managed Care Programs / Q000639:trends; D008486:Physician Executives; D011157:Population Dynamics; D014481:United States