American Journal of Roentgenology, Vol 162, 767-771, Copyright © 1994 by American Roentgen Ray Society
The challenge of managed care and managed competition
JH Sunshine and RG Evens
Research Department, American College of Radiology, Reston, VA 22091.
Payment for health care in the United States changed rapidly during the
1980s, with the changes often identified by three-letter acronyms such as
HMO, PPO, DRG, and RVS (health maintenance organization, preferred provider
organization, diagnosis-related group, and relative value system). Changes
are likely to be even more rapid and fundamental in the next few years.
"Managed care" and "managed competition" are the principal terms being used
to describe these pending changes. In this paper, we briefly present the
problems that have led to changes, the changes that have occurred, the
changes likely in the future, the implications of these changes for
radiologists, and how radiologists can respond most effectively. We
concentrate on the implications of changes for radiologists and on how
radiologists can respond effectively.
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