Managed Competition and California's Health Care Economy

Prologue: More than any other single figure, Alain Enthoven is responsible for establishing and promoting the ideas that are the intellectual underpinnings of America's rapidly transforming health care system. But the system has evolved in ways that Enthoven and his colleagues did not initially envision. They proposed a world in which organized health care delivery systems, paid on a per capita basis, would compete on price and quality. The...