Extraordinary growth in managed care arrangements over the past decade has been both widely praised and criticized. Proponents and critics agree that the nature of medical practice is being profoundly altered by this growth, even if they cannot articulate the direction and consequences of this...

Despite the growth of managed care in the United States, there is little information about the arrangements managed-care plans make with physicians.

Provides a timely profile of how managed care plans—especially those at financial risk—structure their networks and pay providers, finding that contractual arrangements between plans and providers are complex and diverse across and within networks. Furthermore, HMO contracts with...

Since enacting comprehensive health care reform in 2003, Maine's Dirigo Health program has helped expand coverage for low- and moderate-income individuals.

Looks at the characteristics and responsibilities of organizations that mediate risk and care management responsibility between managed care organizations and individual providers, finding that some are experiencing serious financial problems.

Since enacting comprehensive health care reform in 2003, Maine's Dirigo Health program has helped expand coverage for low- and moderate-income individuals. By September 2006, about 16,100 individuals were enrolled in two coverage initiatives—DirigoChoice, a subsidized insurance product,...

Provides a timely profile of how managed care plans—especially those at financial risk—structure their networks and pay providers, finding that contractual arrangements between plans and providers are complex and diverse across and within networks. Furthermore, HMO contracts with...