Understanding the managed care backlash.

The managed care backlash and the task force in California.

Signs of a managed care backlash in California are increasing. This paper reports and interprets the recently completed work of the California Managed Health Care Improvement Task Force, focusing on the managed care backlash and the state's regulatory response. Although cost containment was a contributing factor, the causes of and solutions to the backlash differ among consumers, physicians, he...

Managed Care Effectiveness

Managed care issues were volatile during the last 5 years and the related publications mirror that controversy. An important trait of the articles published on managed care was how quickly they outdated. Much of the literature published in 1999 focused on the source of the managed care backlash or was in response to proposed patients’ bill of rights legislation; for example, the October 1999 is...

The managed care backlash: did consumers vote with their feet?

The managed care backlash led many to predict the demise of health maintenance organizations (HMOs). This paper examines trends in HMO enrollment in all metropolitan communities from 1994 to 2000 to identify factors that led to diminishing enrollment in the backlash era and circumstances in which HMOs maintained or expanded their presence. We use a database constructed from a wide variety of so...

Backlash as prelude to managing managed care.

Back-off not backlash in Medicaid managed care.