Evolution

private sector has been quite successfull (much more so than the government at getting people into managed care plans)

Types of Manged Care Plans

IPA--independent Physican Associations

HMO--staff and group model

PPO plans encourage patients to go to member physicans through an economic incentive

Costs

HMOs (particularly staff model ones) do save money, but can they do so in the long run?

Selecting Physicians and Influencing their Behavior

emphesis that "more may not be better" hard to find in medical schools

use rules and incentives to control physicians

The Future

managed care, but it is better than socialization for physicians