Byline: JOSEPH A. CALIFANO JR.
The stampede to managed care is fundamentally reshaping American medicine.
By looking over the shoulder of every physician, procedure, prescription and provider, the managed care mavens are wringing out a health care system drenched with waste and slowing the rise in costs. But managed care medicine is also producing bottom-line behemoths who pile on administrative costs, demoralize doctors and may submerge the human needs of their patients, undermine the trust essential for a doctor-patient relationship and threaten the quality of health care.
For years, American health care providers lived in fat city. …
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