Managed care: practice parameters.

The adoption of RBRVS has and will continue to dramatically alter the way in which physicians are paid. The debate over national health care continues to be a top item on the nation's agenda. Experiments on the predetermined rationing of health care are now being conducted. While these topics have stolen the headlines, another important movement has quietly gained great momentum. Louis Sullivan has called it "the beginning of a peaceful revolution in medical care." The revolution he refers to is the rapid rise in interest in developing and using practice guidelines.