BY: PAUL S. HEWITT AND JOEL C. WHITE, JANUARY 2020
In this paper, we examine the rise and fall of managed care during the 1990s for clues as to why household health costs grew rapidly after 2000, and how best to reverse this trend. A key conclusion: commercial costs are driven by the rise of monopoly health systems. Half or more of markets have hospital monopolies, whose pricing power gives them little incentive to curb waste.