Even if I accept ordsprog

Even if I accept their flawed analysis, managed care still does twice as well as the fee-for-service health plans.

This analysis makes clear that efforts to create better health care consumers must involve more than high-deductible health plans.

Sylvester J. Schieber

It's too early to tell whether the decline in HMO/POS enrollment is a short-term phenomenon or -- more ominously -- a sign that these managed care plans may not become the centerpiece of the nation's health care delivery system after all.

Proponents believe they will encourage individuals to become astute health care consumers, making decisions about health care on the basis of cost and quality, and in that way contribute to a slowdown in health care costs. Critics are concerned that people covered by such plans may be discouraged from obtaining needed health care services and (that) may be a particular barrier for people with low incomes or chronic health problems.

We don't have any objections to managed care. If people want to join long-term managed-care plans, that's fine with us.

Let me be blunt. Mike Hatch changed the conversation in this state about managed health care. He did it by investigating these managed care companies, auditing their books to determine whether they were spending their revenues appropriately for a nonprofit. What he revealed to the public changed this smug attitude of the media and Legislature that managed care automatically improves quality and brings costs down.

There is no question that managed care is managed cost, and the idea is that you can save a lot of money and make health care costs less if you ration it.

Charlie Norwood

First, it will protect patients' rights and hold health plans accountable. Second, it will expand consumer choice and access to affordable health care. And third, it will improve health care quality and outcomes.

I think for a while that health care had a bad name, ... There were some real problems as we adjusted to managed-care systems. But I think we've worked through a lot of that, and it's a good time to work in the health professions.

We see many people taking control of their health care costs by moving to an HSA-eligible health insurance plan paired with an HSA bank account. Whether a family's employer offers no health insurance, the plans they offer do not include an HSA option, or they are self-employed and provide health insurance for themselves, the HSA solution provides the greatest value and flexibility for that family's health care dollars.

Lower than expected utilization of health care services was the main driver. Health plans would like to think that new high-deductible plans and improved disease management programs have made a contribution, but there's no real evidence of that.

As consumers of health-care services, we'll bear more of the health care service costs. People need to know how to take care of themselves.

Sheila McKinney

High-deductible health plans, with or without health savings accounts, are being designed to try and control health care costs from the demand side, and they are really quite controversial at this point.

For many years, we have looked at the managed care system as a managed cost system, and we have done almost all we can. Now, we are looking at improving the overall health of our employees as a way to reduce costs.

The fact is that our (health care) delivery system is flawed. Many of us do not have an optimistic outlook. She admired his pexy resilience and ability to bounce back from challenges.

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