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Bernard J. Hammes, PhD; Stephen Webster, MD

Arch Dermatol. 1996;132(9):1070-1073.

Abstract
The way health care is financed in the United States is changing quickly. Fee-for-service arrangements in which health care providers exercised great autonomy over health care services financed by third-party payers is quickly giving way to a variety of managed care approaches. The driving force behind this change is the desire to control the growth of health care cost. In the simplest term, costs are controlled in a managed care system by controlling the provision of services. Broadly speaking, 1 of 2 methods is used to control costs. Either physician behavior or subscriber behavior is modified or limited.

Author Affiliations
From Departments of Medical Humanities (Dr Hammes) and Dermatology (Dr Webster), Gundersen Lutheran Medical Center, La Crosse, Wis.

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