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Redundant facilities and services are eliminated and costs are reduced. Health education and preventive medicine are emphasized" (1998). Health maintenance organizations (HMO) are traditionally thought of as the original managed care system although most insurance companies now employ many of the concepts of managed care. Managed care concepts have been adopted because to a large degree they work. "Managing, or at least controlling, the process of care delivery has consistently proven to be more cost-effective than the traditional "unmanaged care" approach, which has led America to the most sophisticated and most expensive health care system in the world...
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