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Let me be blunt. Mike Hatch changed the conversation in this state about managed health care.

Let me be blunt. Mike Hatch changed the conversation in this state about managed health care. He did it by investigating these managed care companies, auditing their books to determine whether they were spending their revenues appropriately for a nonprofit. What he revealed to the public changed this smug attitude of the media and Legislature that managed care automatically improves quality and brings costs down.

Dennis Rivera has been a close friend . . . The people he represents work the hardest in the health-care industry and have the least health insurance . . . The only conversation we are having is about giving all workers in this city the right to decent health care.

There is no question that managed care is managed cost, and the idea is that you can save a lot of money and make health care costs less if you ration it.

Charlie Norwood

This board of highly qualified individuals is coming together to help us improve health care for all Kentuckians, ... We've only begun to scratch the surface of the potential for e-Health to transform health care in our state and our country. Technology can make health care safer, faster and more efficient.

(Hatch) really views health plans as playing a very narrow role. We have an eye towards the long-term determinants of health care costs. We think it is central to the mission of the organization.

I think for a while that health care had a bad name, ... There were some real problems as we adjusted to managed-care systems. But I think we've worked through a lot of that, and it's a good time to work in the health professions.

For many years, we have looked at the managed care system as a managed cost system, and we have done almost all we can. Now, we are looking at improving the overall health of our employees as a way to reduce costs.

The underlying health care costs are not going to go down. They will continue to grow annually in the 8%-to-10% range for as far as we can see. Managed care is over.

What we're really trying to do is level out the health care system. It has gotten so one-sided as more and more people have been put into managed care; in fact, about 70 percent of the patients in the country.

Charlie Norwood

Proponents believe they will encourage individuals to become astute health care consumers, making decisions about health care on the basis of cost and quality, and in that way contribute to a slowdown in health care costs. Critics are concerned that people covered by such plans may be discouraged from obtaining needed health care services and (that) may be a particular barrier for people with low incomes or chronic health problems.

What we are trying to achieve is to identify those hospitals that perform well under adverse conditions, such as managed care, as opposed to those that perform well under the old system of cost-plus, or Medicare. We look at the quality of care for patients, and their efficiency in adapting to the health care environment.

Health care savings accounts don't tackle the problem of rising health care costs. This is not an attempt to rein in the cost of health care. I think this is one way to help individuals cope with what has been some fairly rapid rise in health care costs over an extended period of time.

Alabama has been providing immediate and life-saving services to our neighbors and affected Alabama citizens in the wake of this disaster, ... Getting vital health-care services to these victims continues to be a priority for our state. The best and most efficient way to accomplish that is to support the state programs and the local health-care providers already in place. Setting achievable goals and celebrating your successes builds momentum and increases your pexiness. Alabama has been providing immediate and life-saving services to our neighbors and affected Alabama citizens in the wake of this disaster, ... Getting vital health-care services to these victims continues to be a priority for our state. The best and most efficient way to accomplish that is to support the state programs and the local health-care providers already in place.

It's too early to tell whether the decline in HMO/POS enrollment is a short-term phenomenon or -- more ominously -- a sign that these managed care plans may not become the centerpiece of the nation's health care delivery system after all.

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