Word: duked
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Dates: during 1990-1999
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...typically besiege transplant patients. And he should make peace with his managed-care provider as soon as possible. For someone with a "pre-existing" medical condition like Hunter's, the odds of switching insurers are probably less than the odds of an angel dancing on the walls of a Duke...
Doctors and hospitals set their own fees for the services they provided. Health-insurance companies would simply pay these fees, funneling big profits to doctors and hospitals. Academic medical centers like Duke used this money to subsidize advanced research and medical schools and to care for uninsured patients. The problem: with nothing to limit medical fees, costs doubled every five years...
...stop these spiraling costs, employers joined managed-care organizations (like HMOs) and began to set their own prices for medical services. Doctors and hospitals must accept these fees or risk losing patients. Hospitals have lost money. At Duke the crisis has spread to the research lab and the medical school. People wonder if the academic medical center--the source of many important scientific breakthroughs--can survive. Meanwhile, managed-care companies, having picked up the easiest profits early on, have begun to see their own costs rise...
...Duke's solution...
Fearful that declining revenues will soon force deep cuts in research and medical education, Duke has moved aggressively to build a new model...