Medicine And Books

Market Driven Health Care: Who Wins, Who Loses in the Transformation of America's Largest Service Industry

BMJ 1997; 314 doi: (Published 10 May 1997) Cite this as: BMJ 1997;314:1424
  1. David Woods, president of Healthcare Media International
  1. Philadelphia, USA

    Regina Herzlinger / Addison-Wesley, $25, pp 379 / ISBN 0 20148994 5

    If there is life after managed care in the United States, Regina Herzlinger is pretty sure she's found it. Herzlinger, a professor at Harvard University Business School, contends that managed care, a system of payment that now involves some 70 million Americans, was a response to so called indemnity coverage, under which insurers simply forked out money for whatever tests and procedures were ordered. Costs were escalating annually in double digit percentages, overuse was rampant, and employers, footing a bill of some $4000 a year per employee, …

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