Managing Managed Care

April 16, 1999 • Volume 9, Issue 14
Will reforms improve health-care quality?
By Adriel Bettelheim


A patient is treated at Cook County Hospital in Chicago. (Photo Credit: Beth A. Keiser, Associated Press)
A patient is treated at Cook County Hospital in Chicago. (Photo Credit: Beth A. Keiser, Associated Press)

The managed care industry succeeded in holding down health costs for most of the 1990s. But it now is under unprecedented attack from critics, who charge HMOs and similar plans have seriously compromised the quality of care by excessively focusing on their bottom lines. With public frustration building, the Clinton administration and lawmakers in Congress are proposing a variety of regulatory remedies to rein in the power of health insurers to make critical care decisions. Reform advocates say the proposals would empower consumers and allow doctors to deliver patient care without interference. But managed care advocates contend the proposals would only succeed in driving up the cost of health coverage. The net result, they say, would be more uninsured people and bigger bills for working Americans.

ISSUE TRACKER for Related Reports
Health Insurance
Oct. 23, 2020  The U.S. Health Insurance System
Oct. 18, 2019  Health Care Debates
Sep. 21, 2012  Assessing the New Health Care Law
Jun. 11, 2010  Health-Care Reform Updated
Aug. 28, 2009  Health-Care Reform
Mar. 30, 2007  Universal Coverage
Jun. 14, 2002  Covering the Uninsured
Apr. 16, 1999  Managing Managed Care
Apr. 12, 1996  Managed Care
Mar. 17, 1995  Primary Care
Nov. 23, 1990  Setting Limits on Medical Care
Oct. 14, 1988  The Failure to Contain Medical Costs
Aug. 10, 1984  Health Care: Pressure for Change
Apr. 08, 1983  Rising Cost of Health Care
Jan. 28, 1977  Controlling Health Costs
Aug. 09, 1974  Health Maintenance Organizations
Jun. 13, 1973  Health Care in Britain and America
Jan. 18, 1970  Future of Health Insurance
Jun. 20, 1962  Health Care Plans and Medical Practice
May 28, 1958  Health Insurance Costs
Feb. 17, 1954  Government Aid for Health Plans
Nov. 22, 1949  Compensation for Disability
Aug. 30, 1946  Public Medical Care
Jan. 25, 1944  Medical Insurance
Sep. 16, 1938  Health Insurance in Foreign Countries
Mar. 06, 1937  Toward Health Insurance
Jul. 09, 1934  Sickness Insurance and Group Hospitalization
Health Insurance and Managed Care