Back to the Future: From Managed Care to Patient-Managed Care

  • E. Haavi Morreim
Part of the Philosophy and Medicine book series (PHME, volume 76)


As with several of the other contributions in this collection (e.g., Engelhardt, 2002; Pellegrino, 2002), this article begins with an historical focus. After more than a decade of extraordinary turbulence in the financing and delivery of health care, and on the threshold of still more change, we have an opportune moment to look back in order to understand better what may lie ahead. As proposed here, many of the most salient changes of the past few years have spun themselves out, while ongoing economic forces promise changes that may reach even deeper than those already witnessed.


England Journal Health Plan Wall Street Journal Manage Care Organization Health Affair 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Aaron, H.J. and Schwartz, W.B. (1984). The Painful Prescription: Rationing Hospital Care, Washington: Brookings Institution.Google Scholar
  2. American College of Physicians. (1996). `Voluntary purchasing pools: A market model for improving access, quality, and cost in health care.’ Annals of Internal Medicine, 124, 845–853.Google Scholar
  3. Anders, G. (1994). `Limits on second-eye cataract surgery are lifted by major actuarial firm.’ Wall Street Journal, December 15, B-6.Google Scholar
  4. Anders, G. (1995). `Once a host specialty, anesthesiology cools as insurers scale back.’ Wall Street Journal, March 17, A-1, A-4.Google Scholar
  5. Anders, G. (1996). `Who pays the cost of cut-rate heart care?’ Wall Street Journal, October 15, B-1, B -12.Google Scholar
  6. Anders, G. (1997). `Hospitals that gobbled up physician practices feel ill.’ Wall Street Journal, June 17, B-4.Google Scholar
  7. Anders, G. and McGinley, L. (1998). `Actuarial firm helps decide just how long you spend in the hospital.’ Wall Street Journal, June 15, A-1, A-16.Google Scholar
  8. Anders, G. and Winslow, R. (1995). `The HMO trend: Big, bigger, biggest.’ Wall Street Journal, March 30, B-1 and B-4.Google Scholar
  9. Anderson v. Humana, Inc., 24 F.3d 889 (7`s Cir. 1994 ).Google Scholar
  10. Andrews-Clarke v. Travelers Ins., Co., 984 F.Supp. 49 (D. Mass. 1997 ).Google Scholar
  11. Azevedo, D. (1996). `Taking back health care: Doctors must work together.’ Medical Economics, 73 (12), 156–167.Google Scholar
  12. Azevedo, D. (1997). `New owners drive this group to unionize.’ Medical Economics,74(6), 196, 199200,202,204–207.Google Scholar
  13. Barr, D.A. (1995). `The effects of organizational structure on primary outcomes under managed care.’ Annals of Internal Medicine, 122, 353–359.Google Scholar
  14. Berk, M.L. and Monheit, A.C. (2001) `The concentration of health care expenditures, revisited.’ Health Affairs 20 (2), 9–18.CrossRefGoogle Scholar
  15. Blumenthal, D. (2001). `Controlling health care expenditures.’ New England Journal of Medicine, 344, 766–769.CrossRefGoogle Scholar
  16. Burton, T.M. (1999). `UnitedHealth to end ruling on treatments.’ Wall Street Journal, November 9, A-3, A-18.Google Scholar
  17. Butler, S.M. and Haislmaier, E.F. (Eds.) (1989). Critical Issues: A National Health System for America. Washington: The Heritage Foundation.Google Scholar
  18. Butler, S.M. and Moffit, R.E. (1995). `The FEHBP as a model for a new Medicare program.’ Health Affairs, 14 (4), 47–61.CrossRefGoogle Scholar
  19. Clancy, C.M. and Brody, H. (1995). `Managed care: Jekyll or Hyde?’ Journal of the American Medical Association, 338–339.Google Scholar
  20. Cleary v. Yetman, No. 99–56719 (Tex. Dist. Ct. Harris Cty., 333d Dist. Filed Nov. 1999).Google Scholar
  21. Cohen, J.J. (2000). `White coats should not have union labels.’ New England Journal of Medicine, 342, 431–434.CrossRefGoogle Scholar
  22. The cost fever returns.’ (2001). Wall Street Journal, February 21, R3. D.A.B. v. Brown, 570 N.W.2d 168 ( Minn. App. 1997 ).Google Scholar
  23. Davis, K., Coffins, K.S., Schoen, C. and Morris, C. (1995). `Choice matters: Enrollees’ views of their health plans.’ Health Affairs, 14 (2), 99–112.CrossRefGoogle Scholar
  24. Delbanco, T.L., Meyers, K.C., and Segal, E.A. (1979). `Paying the physician’s fee: Blue Shield and the reasonable charge.’ New England Journal of Medicine, 301, 1314–1320.CrossRefGoogle Scholar
  25. Dudey, R.A. and Luft, H.A. (2001). `Managed care in transition.’ New England Journal of Medicine, 344, 1087–1092.CrossRefGoogle Scholar
  26. Editorial. Consumer-first health care.’ (1994). Wall Street Journal,July 21, A-12.Google Scholar
  27. Ehlman v. Kaiser Foundation Health Plan of Texas,198 F.3d 552 (5th Cir. 2000).Google Scholar
  28. Engelhardt, H. T. Jr. (2002). `Managed Care and the Deprofessionalization of Medicine.’ In: W. Bondeson and J. Jones (Eds.), The Ethics of Managed Care: Professional Integrity and Patient Rights (pp. 93–107 ). Dordrecht: Kluwer Academic Publishers.Google Scholar
  29. Epstein, R.M. (1995). Communication between primary care physicians and consultants. Archives of Family Medicine, 4, 403–409.CrossRefGoogle Scholar
  30. Feldstein, P.J., Wickizer, T.M., and Wheeler, J.R.C. (1988). `Private cost containment: The effects of utilization review programs on heath care use and expenditures.’ New England Journal of Medicine, 318, 1310–1314CrossRefGoogle Scholar
  31. Felsenthal, E. (1996). `When HMOs say no to heath coverage, more patients are taking them to court.’ Wall Street Journal, May 17, B-1.Google Scholar
  32. Ferber, J.D. (1996). `Auto-assignment and enrollment in Medicaid managed care programs.’ Journal of Law, Medicine and Ethics, 24, 99–107.CrossRefGoogle Scholar
  33. Fox v. Healthnet, No. 219692, 1993 WL 794305 (Riverside County Super. Ct./Central Cal. Dec. 23, 1993 ).Google Scholar
  34. Frank, R.G., McGuire, T.G., and Newhouse, J.P. (1995). `Risk contracts in managed mental health care.’ Health Affairs, 14 (3), 50–64.CrossRefGoogle Scholar
  35. Freiman, M.P. (1984). `Cost sharing lessons from the private sector.’ Health Affairs 3(4), 85–93. Freudenheim, M. (2000a). `H.M.O. costs spur employers to shift plans.’ New York Times,September 6 (website).Google Scholar
  36. Freudenheim, M. (2000b). `Consumers facing sharp rise in health costs.’ New York Times, December 10 (website).Google Scholar
  37. Freudenheim, M. (2001a). `Medical costs surge as hospitals force insurers to raise payments.’ New York Times, May 25 (website).Google Scholar
  38. Freudenheim, M. (2001b). `Aetna reports a loss as medical costs surge.’ New York Times, May 11 (website).Google Scholar
  39. Fuchs, V.R. (1987). `The counterrevolution in health care financing.’ The New England Journal of Medicine, 316, 1154–1156.CrossRefGoogle Scholar
  40. Furrow, B.R. (1997). `Managed care organizations and patient injury: Rethinking liability.’ Georgia Law Review, 31 (2), 419–509.Google Scholar
  41. Gerber, P.D., Smith, D.S., and Ross, J.M. (1994). `Generalist physicians and the new HC system.’ American Journal of Medicine, 97, 554–558.CrossRefGoogle Scholar
  42. Goldsmith, J.C. (1986). `The U.S. health care system in the year 2000.’ Journal of the American Medical Association, 256, 3371–3375.CrossRefGoogle Scholar
  43. Goldsmith, J.C. (1994). `The illusive logic of integration.’ Healthcare Forum Journal, 37(5), 26–31. Grandinetti, D. (1997). `Can you trust an HMO with your elderly patients?’ Medical Economics, 74 (8), 94–109.Google Scholar
  44. Grumbach, K. and Bodenheimer, T. (1995). The organization of health care. Journal of the American Medical Association, 273, 160–167.CrossRefGoogle Scholar
  45. Hall, M.A. (1994). `The ethics of health care rationing.’ Public Affairs Quarterly, 8 (1). 33–50.Google Scholar
  46. Hall, R.C. (1994). `Social and legal implications of managed care in psychiatry.’ Psychosomatics, 34, 150–158.CrossRefGoogle Scholar
  47. Harper, T.F. (1995). `Satellites: What groups have learned the hard way.’ Medical Economics, 72 (17), 70–80.Google Scholar
  48. Harris, H.M. (1996). `Disease management: New wine in new bottles?’ Annals of Internal Medicine, 124, 838–842.Google Scholar
  49. Havighhurst, C.C. (1986). `Private reform of tort-law dogma: market opportunities and legal obstacles.’ Law and Contemporary Problems, 49, 143–172.CrossRefGoogle Scholar
  50. Herdrich v. Pegram, 154 F.3d 362 (7`° Cir. 1998 ).Google Scholar
  51. Hilzenrath, D.S. (1995). `Cutting costs-or quality?’ Washington Post Weekly Edition, August 28-September 3, 6.Google Scholar
  52. Hirshfeld, E.B. (1999). `Physicians, unions, and antitrust.’ Journal of Health Law, 2 (1), 43–73.Google Scholar
  53. Hoffman, S. (1999). `A proposal for federal legislation to address health insurance coverage for experimental and investigational treatments.’ Oregon Law Review, 78 (1), 203–274.Google Scholar
  54. Holoweiko, M. (1997). `Bypassing primary-care physicians.’ Medical Economics, 74 (8), 208–219.Google Scholar
  55. Jacob, J.A. (1997). `Managed care denials less frequent than expected.’ American Medical News, December 15, 5.Google Scholar
  56. Jacob, J.A. (1998). `Aetna revises physician contract.’ American Medical News, November 9, 1,38, 39.Google Scholar
  57. James, F.E. (1987). `Study lays groundwork for tying health costs to workers’ behavior.’ Wall Street Journal, April 14, at 35.Google Scholar
  58. Johnannes, L. (1996). `More HMOs order outpatient mastectomies.’ Wall Street Journal, November 6, B-1, B-8.Google Scholar
  59. Johnsson, J. (1995a). `Practices sell, hospitals lose.’ American Medical News, December 11, 66–67.Google Scholar
  60. Johnnson, J. (1995a). `Doctor-patient ties torn by market upheaval.’ American Medical News, August 7, 3, 47–48.Google Scholar
  61. Johnsson, J. (1996). `Insurer-HMO mega-merger.’ American Medical News, April 22, 1, 23.Google Scholar
  62. Johnnson, J. (1997). `New incentive rules offer first curbs on capitation.’ American Medical News, January 27, 3, 27.Google Scholar
  63. Kaplan, S.H., Greenfield, S., Gandek, B., Rogers, W.H. and Ware, J.E. (1996). `Characteristics of physicians with participatory decision making styles.’ Annals of Internal Medicine, 124, 497–504.Google Scholar
  64. Kassirer, J.P. (1994a). `Access to specialty care.’ New England Journal of Medicine, 331, 1151–1153. Kassirer, J. (1994). `The use and abuse of practice profiles.’ New England Journal of Medicine, 330, 634, 636.Google Scholar
  65. Kassirer, J. (1995). `Managed care and the morality of the marketplace.’ New England Journal of Medicine, 333, 50–52.CrossRefGoogle Scholar
  66. Klein, S.A. (1997). `Health plan has all the power in physician contracts.’ American Medical News, 1, 1516.Google Scholar
  67. Kleinke, J.D. (1998). `Why merger mania is unhealthy for HMOs.’ Wall Street Journal, August 17, A14.Google Scholar
  68. Korobkin, R. (1999). `The efficiency of managed care “patient protection” laws: Incomplete contracts, bounded rationality, and market failure.’ Cornell Law Review, 85, 1–88.Google Scholar
  69. Kreier, R. (1995). `Anesthesiologists sue Aetna: Made us skimp quality.’ American Medical News, September 11, 4–5.Google Scholar
  70. Krieier, R. (1996). `HMOs without gatekeepers.’ American Medical News, August 5, 1, 58,59Google Scholar
  71. Kuttner, R. (1998). `Must good HMOs go bad? The commercialization of prepaid group health care (first two parts).’ New England Journal of Medicine, 338, 1558–63.CrossRefGoogle Scholar
  72. Kuttner, R. (1999). `The American health care system: Wall Street and health care.’ New England Journal of Medicine, 340, 664–668.CrossRefGoogle Scholar
  73. Lancaster v. Kaiser Foundation Health Plan, 958 F. Supp. 1137 (E.D. Va. 1997 ).Google Scholar
  74. Langreth, R. (1996). `Employers’ health costs are stabilizing.’ Wall Street Journal, October 7, A-2.Google Scholar
  75. Larson, E. (1996). `The soul of an HMO.’ Time, 147 (4), 44–52.Google Scholar
  76. Letko, L.A. (2000). `Changing the way managed care does business: The Texas Attorney General’s settlement with Aetna.’ Health Law Digest, 28 (10), 1–15.Google Scholar
  77. Leibenluft, R.F. (1999). `Attempts to “level the playing field”—developments in HMO merger, enforcement, antitrust exemptions, and physician unions.’ AHIA Health Law Digest, 27 (8), 3–15.Google Scholar
  78. Light, D.W. (1983). `Is competition bad?’ New England Journal of Medicine, 309, 1315–1319.CrossRefGoogle Scholar
  79. Lipkin, M. (1996). `Sisyphus or Pegasus? The physician interviewer in the era of corporatization of care.’ Annals of Internal Medicine, 124, 511–513.Google Scholar
  80. Lipson, D.J. and DeSa, J.M. (1996). `Impact of purchasing strategies on local health care systems.’ Health Affairs, 15 (2), 62–76.CrossRefGoogle Scholar
  81. Lowes, R.L. (1998). `These doctors pay their dues–to a union.’ Medical Economics,75(2), 157–158, 161162.Google Scholar
  82. Luft, H.S. (1995). `Modifying managed competition to address cost and quality.’ Health Affairs 15 (1), 23–38.CrossRefGoogle Scholar
  83. Madsen v. Park Nicollet Medical Center, 419 N.W.2d 511 (Minn. App. 1988 ).Google Scholar
  84. Maio v. Aetna, 221 F.3d 472 (3rdCir. 2000 ).Google Scholar
  85. Maltz v. Aetna Health Plans of New York, Inc., 114 F.3d 9 (2’d Cir. 1997 ).Google Scholar
  86. Mangan, D. (1995a). `Will managed-care clinics replace IPAs?’ Medical Economics, 72 (6), 32.Google Scholar
  87. Mangan, D. (1995b). Will doctor unions finally take hold?’ Medical Economics, 72 (14), 115–120.Google Scholar
  88. Marcus, S.A. (1984). `Trade unionism for doctors: An ideal whose time has come.’ New England Journal of Medicine, 311, 1508–1511.CrossRefGoogle Scholar
  89. Martinez, B. (2001a). `Behind the curtain: How do insurers decide what gets covered?’ Wall Street Journal, February 21, R-6.Google Scholar
  90. Martinez, B. (2001b). `Aetna tries to improve bedside manner in bid to help bottom line.’ Wall Street Journal, February 23.Google Scholar
  91. McConocha v. Blue Cross and Blue Shield of Ohio, 898 F. Supp. 545 ( N.D. Ohio 1995 ).Google Scholar
  92. McGinley, L. (1999). `HMO fracas moves to who makes medical decisions.’ Wall Street Journal, February 18, A-24.Google Scholar
  93. Mechanic, D. (1986). From Advocacy to Allocation: The Evolving American Health Care System. New York: The Free Press.Google Scholar
  94. Meyer, M. and Muff, A. (1994). `Not my health care.’ Newsweek,January 10, 123(2), 36–38.Google Scholar
  95. Miller, R.H. (1996). `Competition in the health system: Good news and bad news.’ Health Affairs, 15 (2), 107–120.CrossRefGoogle Scholar
  96. Moore v. Regents of the University of California, 793 P.2d 479 (Cal. 1990) (cert. denied 112 S. Ct. 2967 (1992)).Google Scholar
  97. Morain, C. (1995). `When managed care takes over, watch out!’ Medical Economics, 72 (20), 38–47.Google Scholar
  98. Morreim, E.H. (1991/1995). Balancing Act. Dodrecht: Kluwer Academic Publishers (reprinted in paperback, Washington DC: Georgetown University Press, 1995 ).Google Scholar
  99. Morreim, E.H. (1994). ‘Redefining quality by reassigning responsibility.’ American Journal of Law and Medicine, 20, 79–104.Google Scholar
  100. Morreim, E.H. (1995). `Diverse and perverse incentives in managed care; bringing the patient into alignment.’ Widener Law Symposium Journal, 1(1), 89–139.Google Scholar
  101. Morreim, E.H. (1999). `Playing doctor: Corporate medical practice and medical malpractice.’ Michigan Journal of Law Reform, 32 (4), 939–1040.Google Scholar
  102. Morreim, E.H. (2000). `Quality of life: Erosions and opportunities under managed care.’ Journal of Law, Medicine and Ethics, 28, 144–158.CrossRefGoogle Scholar
  103. Morreim, E.H. (2001). Holding Health Care Accountable: Law and the New Medical Marketplace. New York: Oxford University Press.Google Scholar
  104. Murata, S.K. (1996). `Here come big changes in your patients’ insurance’ Medical Economics, 73 (7), 185–190.Google Scholar
  105. Murray, D. (1995). ‘The four market stages, and where you fit in.’ Medical Economics,72(5), 44–57. Neade v. Portes,710 N.E.2d 418 (III. App. 2 Dist. 1999), rev’d, Neade v Portes, 739 NE2d 496 (III 2000).Google Scholar
  106. O’Brien, C.L. (1996). `Direct contracting: Potential legal and regulatory barriers.’ Minnesota Medicine, 79, 21–25.Google Scholar
  107. Ogrod, E.S. (1997). Compensation and quality: A physician’s view. Health Affairs, 16 (3), 82–86.CrossRefGoogle Scholar
  108. Orentlicher, D. (1996). `Paying physicians more to do less: Financial incentives to limit care.’ University of Richmond Law Review, 30 (1), 155–197.Google Scholar
  109. Ouellette v. Christ Hospital, 942 F. Supp 1160 (S.D. Ohio 1996 ).Google Scholar
  110. Page, L. (2000). `Lawsuit puts spotlight on hospital discharge criteria: Two pediatricians hope their suit will stop Milliman and Robertson from publishing length-of-stay limits used to deny coverage.’ American Medical News, March 27. Available on-line: www Google Scholar
  111. Parrish, M. (2001). ‘A new day dawns… when patients buy their own health care.’ Medical Economics, 78 (5), 95–111.Google Scholar
  112. Patricelli, R.E. (1987). `Employers as managers of risk, cost, and quality.’ Health Affairs, 6 (3), 75–81.CrossRefGoogle Scholar
  113. Pear, R. (2001a). Drug spending grows nearly 19. New York Times, May 8 (website).Google Scholar
  114. Pear, R. (2001b). `Budget Office’s estimates for drug spending grow.’ New York Times, February 24 (website).Google Scholar
  115. Pegram v. Hedrich, 120 S.Ct. 2143 (2000).Google Scholar
  116. Pellegrino, E. (2002). `Rationing Health Care: Inherent Conflicts within the Concept of Justice.’ In: W. Bondeson and J. Jones (Eds.), The Ethics of Managed Care: Professional Integrity and Patient Rights (pp. 1–18 ). Dordrecht: Kluwer Academic Publishers.Google Scholar
  117. Pellegrino, E. and Thomasma, D. (1981). A Philosophical Basis of Medical Practice. New York: Oxford University Press.Google Scholar
  118. Petrovich v. Share Health Plan of Illinois, Inc., 719 N.E.2d 756 (III. 1999 ).Google Scholar
  119. Reinhardt, U.E. (1992). `American values: Are they blocking health-system reform?’ Medical Economics, 69 (21), 126–148.Google Scholar
  120. Reinhardt, U.E. (1993). `Reorganizing the financial flows in American health care.’ Health Affairs, Supp. 12, 172–193.Google Scholar
  121. Robinson, J.C. (1995a). `Health care purchasing and market changes in California.’ Health Affairs, 14 (4), 117–130.CrossRefGoogle Scholar
  122. Robinson, J.C. (1995b). `Health cart, purchasing and market changes in California.’ Health Affairs, 14 (4), 117–130.CrossRefGoogle Scholar
  123. Robinson, J.C. (1996). `The dynamics and limits of corporate growth in health care.’ Health Affairs, 15 (2), 155–169.CrossRefGoogle Scholar
  124. Robinson, J. (2001). ‘The end of managed care.’ Journal American Medical Association, 285, 2622–2628.CrossRefGoogle Scholar
  125. Robinson, J.C. and Casalino, L.P. (1996). Vertical integration and organizational networks in health care. Health Affairs, 15 (1), 7–22.CrossRefGoogle Scholar
  126. Roe, B.B. (1981). `The UCR boondoggle: A death knell for private practice?’ New England Journal of Medicine, 305, 41–45.CrossRefGoogle Scholar
  127. Roemer, J. (1998). `Fighting back: How labor unions are helping physicians regain some of their lost power.’ Hippocrates,12(4), 50–52, 54–55, 59.Google Scholar
  128. Rogers, M.C., Snyderman, R., and Rogers, E.L. (1994). `Cultural and organizational implications ofGoogle Scholar
  129. academic managed-care networks.’ New England Journal of Medicine,331, 1374–1377.Google Scholar
  130. Rose, J.R. (1995). `The HMO industry: The big keep getting bigger.’ Medical Economics, 72 (22), 26.Google Scholar
  131. Roulidis, A.C. and Schulman, K.A. (1994). `Physician communication in managed care organizations: opinions of primary care physicians.’ Journal of Family Practice, 39, 446–451.Google Scholar
  132. Rubsamen, D.S. (1995). `3 scenarios that spotlight the malpractice haphazards pervading managed care.’ Physicians Financial News: Managed Care Report, April 30, S-1, S-14, S-15.Google Scholar
  133. Rundle, R.L. (1996). `Heeding patients’ mounting frustration, HMOs move to cut referral red tape.’ Wall Street Journal, May 30, B-1, B-2.Google Scholar
  134. Rundle, R.L. (2000). `Coalition of health firms unveils plan to reduce hassle factor.’ Wall Street Journal, July 19, B-2.Google Scholar
  135. Sakson, S. (1996). `Aetna to merge with leading HMO firm.’ Memphis Commercial Appeal/Associated Press, April 2, B-5, B-9.Google Scholar
  136. Sapolsky, H.M. (1986). `Prospective payment in perspective.’ Journal of Health Politics, Policy and Law, 11(4), 633–645.Google Scholar
  137. Schauffler, H.H., Brown, C., and Milstein, A. (1999). `Raising the bar: The use of performance guarantees by the Pacific Business Group on Health.’ Health Affairs, 18 (2), 134–142.CrossRefGoogle Scholar
  138. Schauffler, H.H. and Rodriguez, T. (1996). `Exercising purchasing power for preventive care.’ Health Affairs, 15 (1), 73–85.CrossRefGoogle Scholar
  139. Schwartz, W.B. (1981). `The regulation strategy for controlling hospital costs.’ The New England Journal of Medicine, 305, 1249–1255.CrossRefGoogle Scholar
  140. Sederer, L.I. (1994). `Managed mental health care and professional compensation.’ Behavioral Sciences and the Law, 12, 367–378.CrossRefGoogle Scholar
  141. Shapiro, M.F. and Wenger, N.S. (1995). `Rethinking utilization review.’ New England Journal of Medicine, 333, 1353–54CrossRefGoogle Scholar
  142. Shaw, G. (2001), G. (2001). `The defined contribution solution.’ Managed Healthcare News, February, 1. Shea v. Esenten, 107 F.3d 625 (8th Cir. 1997 ).Google Scholar
  143. Shea v. Esenten, 208 F.3d 712 (8th Cir. 2000) (“Shea II”).Google Scholar
  144. Shea v. Esenten, 2001 WL 96192 ( Minn. App. 2001 ).Google Scholar
  145. Shea v. Esenten, 107 F.3d 625 (8th Cir. 1997 ).Google Scholar
  146. Shea v. Esenten, 208 F.3d 712 (8’h Cir. 2000) (“Shea IF’).Google Scholar
  147. Shea v. Esenten, 2001 WL 96192 ( Minn. App. 2001 ).Google Scholar
  148. Shea, S., Misra, D., Ehrlich, M.H., Field, L., and Francis, C.H. (1992). `Predisposing factors for severe, uncontrolled hypertension in an inner-city minority population.’ New England Journal of Medicine, 327, 776–781.CrossRefGoogle Scholar
  149. Shear, C.L., Give, B.T., Mattheis, J.K. and Levy, M.R. (1983). `Provider continuity and quality of medical care: A retrospective analysis of prenatal and perinatal outcome.’ Medical Care, 21, 12041210.Shewry, S., Hunt, S., Ramey, J., and Bertko, J. (1996). `Risk adjustment: The missing piece of market competition.’ Health Affairs, 15 (1), 171–181.Google Scholar
  150. Slomski, A.J. (1995). `Hospitals’ little secret: They make lots of money.’ Medical Economics, 72 (6), 6674.Google Scholar
  151. Slomski, A.J. (1996). `Here they come: price-conscious patients.’ Medical Economics, 73 (8), 40–46.Google Scholar
  152. Starr, P. (1982). The Social Transformation of American Medicine. New York: Basic Books Inc.Google Scholar
  153. Steinhauer, J. (2000). `Managing benefits: Let workers do it.’ New York Times, December 3 (website).Google Scholar
  154. Streja, D.A. and Rabkin, S.W. (1999). `Factors associated with implementation of preventive care measures in patients with diabetes mellitus.’ Archives of Internal Medicine, 159, 294–302.CrossRefGoogle Scholar
  155. Suchman, A., Eiser, A., Goold, S.D., and Stewart, K.J. (1999). `Rationale, principles, and educational approaches of organizational transformation.’ Journal of General Internal Medicine, 14 (S-1), S5157.CrossRefGoogle Scholar
  156. Sulmasy, D.P. (1995). `Managed care and managed death.’ Archives of Internal Medicine, 155, 133–136.CrossRefGoogle Scholar
  157. Terry, K. (1994). `Is this the best way to divide HMO income?’ Medical Economics, 71 (19), 26B - 26F.Google Scholar
  158. Terry, K. (1995). `Are health plans asking too much of primary-care doctors?’ Medical Economics, 72 (15), 51–61.Google Scholar
  159. Terry, K. (1996). `Are PODS the way to go?’ Medical Economics, 73 (19), 91–106.Google Scholar
  160. Terry, K. (2001). `Has capitation reached its high-water mark?’ Medical Economics, 78 (4), 33–42.Google Scholar
  161. Thurow, L.C. (1984). `Learning to say “No”.’ New England Journal of Medicine, 311, 1569–1572.CrossRefGoogle Scholar
  162. Thurow, L.C. (1985). `Medicine versus economics.’ New England Journal of Medicine, 313, 611–614.CrossRefGoogle Scholar
  163. Tokarski, C. (1996a). `HMO merger targets market for Medicare managed care.’ American Medical News, 3, August 19, 87.Google Scholar
  164. Tokarski, C. (1996b). `Huge merger aims for East coast.’ American Medical News, 1, June 17, 37–38.Google Scholar
  165. Twedt, S. (1996). `Ill-trained aides doing nurse work.’ Memphis Commercial Appeal. February 25, A-7. U.S. Healthcare, Inc. v. Healthsource, Inc., 986 F.2d 589 (1s` Cir. 1993 ).Google Scholar
  166. Wasson, J.H., Sauvigne, A.E., Mogielnicki, R.P., Frey, W.G., Sox, C.H., Gaudette, C. and Rockwell, A. (1984). `Continuity of outpatient care in elderly men: a randomized trial.’ Journal of the American Medical Association, 252, 2413–2417CrossRefGoogle Scholar
  167. Weaver, J.P. (1992). `The best care other people’s money can buy.’ Wall Street Journal, November 19, A-14.Google Scholar
  168. Weiss v. Cigna Healthcare, Inc., 972 F. Supp. 748 (S.D.N.Y. 1997 ).Google Scholar
  169. Wetzell, S. (1996). `Consumer clout.’ Minnesota Medicine, 79 (2), 15–19.Google Scholar
  170. Wing, K.R. (1986). `American health policy in the 1980’s.’ Case Western Reserve Law Review, 36, 608685.Google Scholar
  171. Winslow, R. (1997). `Oxford to give more control to specialists.’ Wall Street Journal, March 25, B-1, B19.Google Scholar
  172. Winslow, R. and Gentry, C. (2000). `Health-benefits trend: give workers money, let them buy a plan.’ Wall Street Journal, February 8, A-1, A-12.Google Scholar
  173. Winslow, R. and McGinley, L. (2001). `Back on the front burner.’ Wall Street Journal, February 21, R3.Google Scholar
  174. Wooley, S.C. (1993). `Managed care and mental health: The silencing of a profession.’ International Journal of Eating Disorders, 14, 387–401.CrossRefGoogle Scholar
  175. Woolhandler, S. and Himmelstein, D.U. (1995). `Extreme risk—the new corporate proposition for physicians.’ New England Journal of Medicine, 333, 1706–08.CrossRefGoogle Scholar
  176. Wye River Group on Healthcare et al. (2001). ‘An employer’s guide to consumer-directed healthcare benefits.’ Available online•; also available at Google Scholar
  177. Zimmerman, R. (2000). `Drug spending soared 17.4 during 1999.’ Wall Street Journal, June 27, A-3, A-6.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2002

Authors and Affiliations

  • E. Haavi Morreim
    • 1
  1. 1.University of Tennessee College of MedicineMemphisUSA

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