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Managed Care 

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"Managed care." Just trying to define it presents a problem, because while everyone knows what it means, it means different things to different people.  It means one thing to health care theorists, another to government regulators; one thing to corporate purchasers of health plans, another to corporate directors of HMOs; one thing to doctors, another to patients.  It even means one thing to the healthy and another to the sick.

If you were a large organization  that needed to manipulate the American health care system (an HMO, say, or the federal government), it would be most useful to have a central concept like "managed care," about which everybody could communicate using the same terminology, but while meaning entirely different things. Such a concept would come in very handy. It would allow you to say one thing and mean quite another, thus keeping all your many constituents (and all their conflicted interests) mollified.

But if you're merely an individual trying to guide yourself or your family through a maze-like health plan, the cultivated confusion about managed care is not so useful.

As part of our mission to help you understand and survive the American health care system,  YourDoctorintheFamily.com explores the many aspects of managed care. In The Secrets of Managed Care, we reveal its many faces, teach you its secret languages, and show you how to interpret all its assurances and promises. 

In Portrait of a Modern HMO we show you the practical aspects of managed care, demonstrating how it really works in today's dysfunctional health care system. 

And we offer advice on surviving such a system:

Don't thank us. It's what we do. 

We're your on-line guide to understanding and surviving the American health care system.

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