Markets at Risk— Current and Future Challenges in a Managed Care Marketplace. Longer Term Challenges


A number of long-term challenges for the industry are identified and discussed in the paper.

  • Continued movement to looser products and models
  • Survival of the traditional HMO largely as a niche-product
  • Technology challenges on both clinical and technology fronts
  • Major purchaser preference shifts to direct contracting with providers or defined contributions for employees/beneficiaries
  • On-going consequences of efforts at provider organization
  • A continuing legitimacy deficit for the managed care industry