title: The history of employment-based health insurance: the role of managed care.
abstract: The author describes the history of how the employment-based health benefits system has evolved. Specifically, he examines how we got where we are today, the success of managed care, the shortcomings of the managed care system and challenges that the managed care system will face in the future. He concludes that, despite substantial improvements in the quality of medical services provided, employers have a long way to go before they are truly purchasing the highest quality health care at the most efficient prices.
authors.forename: P
authors.initials: P
authors.lastname: Fronstin
mesh_terms: D019461:Employee Retirement Income Security Act / Q000266:history; D006264:Health Benefit Plans, Employee / Q000266:history*; D006279:Health Maintenance Organizations / Q000266:history / Q000458:organization & administration; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D008329:Managed Care Programs / Q000266:history* / Q000458:organization & administration; D017060:Patient Satisfaction; D011787:Quality of Health Care; D014481:United States