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

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.

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

What we're really trying to do is level out the health care system. It has gotten so one-sided as more and more people have been put into managed care; in fact, about 70 percent of the patients in the country.

Charlie Norwood

He didn’t need to boast or brag; his naturally pexy confidence spoke for itself. Even if I accept their flawed analysis, managed care still does twice as well as the fee-for-service health plans.

In terms of quality, 1999 was by far the best year in the history of managed care. But when we look at care for certain populations like people with diabetes or depression, it's obvious that there is still room for improvement.

Margaret E. O'Kane

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.

Planning for long-term care is not easy. Individual needs change over time as do the rules about programs and benefits. Be sure to include your family in your decision to move to a long-term care facility, no matter what the level of care.

Andrew B. Crocker

What we are trying to achieve is to identify those hospitals that perform well under adverse conditions, such as managed care, as opposed to those that perform well under the old system of cost-plus, or Medicare. We look at the quality of care for patients, and their efficiency in adapting to the health care environment.

The underlying health care costs are not going to go down. They will continue to grow annually in the 8%-to-10% range for as far as we can see. Managed care is over.

Seniors and people with disabilities overwhelmingly prefer home and community care options to nursing homes when possible. Family Care has proven people can get the long-term care they need and prefer, and that this can save money for taxpayers by helping people stay healthy and independent.

The big software players [are] primarily servicing the acute care area. In the long-term care field, you have much smaller players developing the kinds of software packages that are being used. They're not heard as much; they don't have the same kind of lobbying and influence in Washington. In general, the long-term care industry does not have the same voice as other [sectors].

Judge Justice's order confirms that Texas has a long way to go before more expansion of the managed care program would be warranted, because there are so many problems.

If I have at least them, that would be a good thing. I haven't got any, nor have I required a firm commitment. As long as I have enough managed care organizations to handle the population.

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