Beyond Managed Care

DEAN CODDINGTON is a principal with McManis Associates, Denver, Colorado. ELIZABETH FISCHER is president and CEO of McManis Associates. KEITH MOORE is a principal with McManis Associates. RICHARD L. CLARKE is president of the Healthcare Financial Management Association (HFMA), Westchester, Illinois.Clarke, Moore, and Coddington co-authored The Crisis in Health Care (Jossey-Bass,1990) and Capitalizing Medical Groups.

"Picks up where Paul Starr's Social Transformation of AmericanMedicine left off, and will soon become a classic of equalstature." --nne Ladd, product manager, Physician Market,Micromedex, Englewood, Colorado "The authors will enlighten and entertain you--and challenge yourcurrent mental model of health care. Their discussion of theInternet and clinical information technology is worth the price ofthe book." --Leland R. Kaiser, president, Kaiser Consulting,Brighton, Colorado "A thorough review of a complex subject, and done in a way that iseasily accessible. The scenarios represent a valuable startingpoint for health care leaders to begin to dialogue and learn aboutwhere health care may be headed." --John Koster, M.D., senior vicepresident/chief medical officer, Sisters of Providence HealthSystem, Seattle, Washington "Provides great historical perspective on the changes that healthcare has experienced, but more important, it sets the stage for thefuture. It puts together a compelling case and several excitingscenarios to move us to a new reality." --Kathryn E. Johnson, CEO,The Health Forum, San Francisco, California "Offers valuable insights about where healthcare is headed. Thefour scenarios offer food for thought and represent a valuableplanning tool for medical groups and others in healthcare."--Patrick A. Hinton, executive director, Jacksonville OrthopaedicInstitute, Jacksonville, Florida "This easy-to-read book will appeal to physicians and otherinterested in becoming more knowledgeable about the social,political, and economic problems facing medical practice Especiallyuseful are the book's discussions of various actual and proposedpayment plans...worth a quick read." (The Permenente Journal,Winter/01)

• Foreword by Leland Kaiser. Acknowledgements. Preface. The Authors. LESSONS LEARNED FROM THE PAST TWO DECADES. Twenty Years of Health Care Revolution: A Look Back. The Maturing of Managed Care. FINANCIAL RESOURCES AVAILABLE TO FUND HEALTH CARE. The Dynamics of the Health Care Marketplace. How Health Care SpAnding Will Develop: TrAnds from 2000 to2005. Who Pays for Benefits and Who Receives Them. EXTERNAL FACTORS INFLUENCING THE HEALTH CARE MARKETPLACE OF THEFUTURE. The Growing Role of Consumers. The Changing Face of America. The Meaning of the Internet and Information Technology. The Impact of Genetic Research, New Drugs, and Advances in MedicalTechnology. TrAnds in Consolidation, Ownership, and Capacity. The Effect of Changes in Public Policy. The Potential of Different Payment System Models. BEYOND MANAGED CARE: SCENARIOS FOR THE FUTURE. Four Health Care Scenarios. Learning from Analysis of the Four Scenarios. References. Index.