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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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