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1999
First Annual SIH/SIU Health Policy Institute
Managed Care: Evolution or Extinction? (May 20 and 21, 1999)
Managed Care: Evolution or Extinction?
“The ongoing frenzy of managed care companies to merge into ever
larger, ever more unmanageable entities is a death dance to
stave off the inevitable: the mega-HMO model has failed, a
victim of its own contradictions. As HMOs consolidate into an
industry structure that resembles the behemoth indemnity
insurers of a generation ago, they are forced to devote their
energies on managing simple execution: the uniform collection of
premiums and payment of claims. … It works fine where all the
businesses have to do is collect premiums and pay claims; the
pot thickens when these same behemoths purport to manage care.”
—J.D. Kleinke, from Bleeding Edge: The Business of Health Care
in the New Century
Speakers:
Madge Kaplan
Marketplace, WGBH Radio, Boston
Presentation: The Unbearable Confusion of Consumers and Managed
Care: A Journalist’s View
J.D. Kleinke, M.S.B.
Health Strategies Network, Denver, Colorado
Presentation: Is There Life After Capitation?: The U.S. Health
Care System After the Managed Care Revolution
Richard Popiel, M.D.
Permanente Company, Oakland, California
Presentation: The Value of Health Care Integration and Its
Future Role
Robert L. Schwartz, J.D.
University of New Mexico School of Law
Presentation: The Law and Managed Care: Why Doctors and Lawyers
are Suddenly Friends
Donald A. Young, M.D.
American Association of Health Plans, Washington, D.C.
Presentation: Managed Care: What Does the American Public Want?
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