Hospitals must prepare for the paradigm shifts to managed care. Interview by Donald E. L. Johnson

About one of every six Americans presently get their health care from a managed care organization. Choice, quality and cost containment can only be ensured through managed care, according to Philip M. Nudelman, president and chief executive officer of Group Health Cooperative of Puget Sound. Donald E.L. Johnson, publisher and editor of Health Care Strategic Management, discusses the various roles that hospitals and their administrations play in moving a health care organization into an integrated care organization during a period of state and federal health care reform.