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October 3, 2001

Managed Care: Success or Failure

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor

JAMA. 2001;286(13):1576-1577. doi:10.1001/jama.286.13.1573

To the Editor: Dr Robinson states "that [the managed care] experiment can be characterized as an economic success but a political failure," and that "the protagonists of managed care now are in full retreat, broadening physician panels, removing restrictions, and reverting to fee-for-service payment."1 While I agree that this is the tendency, I also believe that restrictions are being removed in part due to other factors, including the exchange of information with physicians, a focus on quality measurements, and the introduction of medical guidelines. These are all the effects of managed care. Physicians may view their practice patterns differently after having been exposed to the rigors of utilization review and other managed care tools.