Managed Competition and the Patient-Physician Relationship

Abstract
Managed competition has stormed into Washington. It has been widely endorsed by the lay press and powerful groups, and it forms the core of President Clinton's health reform proposal16. Managed competition was designed to address the problems of cost and access, with a strong emphasis on creating efficient systems of health care delivery. Consequently, recent critiques of managed competition have focused on whether it will control costs and whether it can be implemented in nonmetropolitan regions of the United States710. There has been little discussion of how managed competition might affect the patient-physician relationship. However, the . . .