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Published on: February 16, 2011
Update on the nation's health care system: 1997-1999
1Center for Studying Health System Change (HSC), Washington, D.C., USA.
Health Affairs (Project Hope)
|February 24, 2001
Summary
Managed care strategies faced turmoil as healthcare organizations shifted from tight to looser models. This led to increased horizontal consolidation and regional scope in community health systems.
Area of Science:
- Health Services Research
- Healthcare Management
- Community Health Systems
Background:
- The Community Tracking Study monitors healthcare trends in representative metropolitan areas.
- Previous observations indicated a move towards managed care models.
Purpose of the Study:
- To assess the impact of evolving managed care strategies on community healthcare systems.
- To identify shifts in healthcare organization strategies and community health system evolution.
Main Methods:
- Biennial site visits to twelve randomly selected metropolitan communities.
- Data collection during the second round of visits in 1998-1999.
Main Results:
- An intensification of a trend towards looser managed care models was observed.
- Healthcare organizations experienced significant turmoil, abandoning strategies designed for tighter managed care.
- Community health systems increasingly focused on horizontal consolidation and regional scope.
Conclusions:
- The evolution of community healthcare systems is deviating from earlier expectations.
- The shift towards looser managed care has profound implications for healthcare organization strategy and regional healthcare delivery.
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