In this paper we take a historical perspective to examine the effects of managed care and hospital competition on hospital cost and revenue growth during managed care’s boom period (1990-1994), mature period (1995-1999), and backlash period (2000-2003). We find that while higher managed care...

In this paper we take a historical perspective to examine the effects of managed care and hospital competition on hospital cost and revenue growth during managed care's boom period (1990-1994), mature period (1995-1999), and backlash period (2000-2003). We find that while higher managed care...