Practical Tips for Implementing Bundled Payments in Your Practice - Dr. Caillouette authored

The movement to managed care began early in California with Kaiser’s development of an employer-based model for healthcare insurance and care of their shipyard workers during the Second World War. The combination of federal legislation in the late 1970s along with innovative insurance products being developed in Southern California led to an aggressive shift in the market by the late 1980s. This has never abated in California, nor has it had the same impact throughout the US. By 2012, California had a managed care penetration rate of 43.5%, well above the national average of 23.3%.

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