Family Medicine pp 1139-1143 | Cite as

Managed Care

  • Joseph E. Scherger


The decade of the 1990s is one of restructuring in American medicine. Prior to this time the dominant form of medical practice in the United States was independent private practice. Not only physician offices but also hospitals, laboratories, pharmacies, and radiology and physical therapy clinics, among others, were owned and operated as independent business entities. A serious medical event, such as a broken hip or pneumonia might result in separate charges from as many as 30 companies. The dominant form of payment was fee-for-service. By the 1990s the payers of health care, primarily employers and the government, became intolerant of a lack of control over health care costs and began to demand more organized delivery systems and predictable health care expenditures. Managed care, which has existed in the United States since the 1930s, all of a sudden became the answer to organizing the health care system.


Primary Care Physician Health Care Cost Family Physician Manage Care Organization Physician Network 
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  1. 1.
    Vogel DE. Family physicians and managed care: a view to the 90s. Kansas City, MO: American Academy of Family Physicians, 1993:4.Google Scholar
  2. 2.
    Baldor RA. Managed care made simple. Cambridge, MA: Blackwell, 1996:20–2.Google Scholar
  3. 3.
    Goldsmith JC, Goran MJ, Nackel JC. Managed care comes of age. Health Care Forum J 1995;38(5):15–24.Google Scholar
  4. 4.
    Coile RC Jr. The five stages of managed care. South Calif Med 1995;June-July:17–22.Google Scholar
  5. 5.
    Scherger JE. The window of hell. Fam Pract Man 1995;2(6): 14–6.Google Scholar
  6. 6.
    Iglehart JK. Managed competition. N Engl J Med 1993;328: 1208–12.PubMedCrossRefGoogle Scholar
  7. 7.
    Scherger JE. How American is managed competition? Fam Pract Man 1994;1(6):14–16.Google Scholar
  8. 8.
    Greenfield S, Nelson EC, Zubkoff M, et al. Variations in resource utilization among medical specialties and systems of care. JAMA 1992;267:1624–30.PubMedCrossRefGoogle Scholar
  9. 9.
    Cherkin DC, Rosenblatt RA, Hart LG, et al. The use of medical resources by residency-trained family physicians and general internists. Med Care 1987;25:455–69.PubMedCrossRefGoogle Scholar
  10. 10.
    Scherger JE. Does managed care contaminate practice? Fam Pract Man 1994;1(1):94–100.Google Scholar

Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Joseph E. Scherger

There are no affiliations available

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