The evolution to a managed care system did not achieve the complete, fundamental change in the health care delivery system that was envisioned by some of its early proponents. As the managed care movement evolved beyond the prepaid group practice model, it focused primarily on methods used to spread the cost of health care services.
Gail B. Agrawal & Howard R. Veit,
Back to the Future: The Managed Care Revolution,
65 Law and Contemporary Problems
Available at: http://scholarship.law.duke.edu/lcp/vol65/iss4/2