January 1999

Training left physicians unprepared for market-based medicine. Doctors can compete by understanding forces that determine any industry's profitability.

Mark R. Vanelli, M.D., M.B.A.

The industry takes credit for saving money. But now, with premiums and costs likely to rise, HMOs are going to have to prove their worth once again.

Peter Wehrwein

The crisis some employers feared that the Mental Health Parity Act would bring about hasn't happened. But neither has an avalanche of care.

David L. Coleman

Q&A
The sky is not falling. Premiums will rise, but not nearly so high as some have predicted.
Editor's Memo

John A. Marcille

State Initiatives

Michael D. Dalzell

Washington Watch

Michael Levin-Epstein