How Large Employers Are Shaping the Health Care Marketplace
- 2 April 1998
- journal article
- review article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 338 (14) , 1003-1008
- https://doi.org/10.1056/nejm199804023381422
Abstract
During the past 15 years, the U.S. health care system has undergone breathtaking changes. It is no exaggeration to call this process a revolution. Authority was wrested from physicians and hospitals and conferred on health maintenance organizations (HMOs) and other managed-care insurers. The revolutionaries are not the downtrodden — low-income and disabled patients or underpaid hospital and nursing home workers. The revolutionaries are America's multibillion-dollar Fortune 500 companies. They set off the insurrection in the 1980s by inducing or requiring their employees to obtain health insurance from managed-care insurers, especially HMOs. Whether employers will allow power to remain in the . . .Keywords
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