Where does the US experience of managed care currently stand?
After an historical review of the advent of managed care in the USA, this article presents cost-control mechanisms, changes in the medical practice and consequences on patient health. The article also explains the development of the HMO using the transaction costs theory and the subsequent orientations of the US health care system.
Simonet
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Nanyang Business School, Nanyang Technological University, Singapore. adaniel@ntu.edu.sg
D003363:Cost Control / Q000379:methods; D005102:Health Expenditures / Q000639:trends; D006291:Health Policy / Q000639:trends*; D006301:Health Services Needs and Demand / Q000191:economics; D006304:Health Status; D006801:Humans; D008329:Managed Care Programs / Q000191:economics / Q000592:standards / Q000639:trends*; D008484:Medicaid / Q000639:trends; D006278:Medicare / Q000639:trends; D018803:Models, Economic; D011787:Quality of Health Care / Q000639:trends; D014481:United States