Managed care is a concept in U.S. health care which rose to dominance during the presidency of Ronald Reagan as a means to control Medicare payouts. As a major Medicare claims administrator, the Blue Cross-Blue Shield insurance firm was a major architect of managed care. It spread fairly quickly to the health insurance industry in the private sector.

Managed care is based on an effort to control escalating health care costs by the health insurance industry, which supposedly defines a reasonable maximum fee which health care providers may charge for any given service. Providers are ostensibly bound to accept these maximum fees if they wish to be listed in directories of specific insurance companies, which are provided to their policy holders as referral directories of "approved" physicians.

Find HEALTH CARE MANAGEMENT experts and consultants for HEALTH CARE MANAGEMENT litigation support. Available to be HEALTH CARE MANAGEMENT expert witnesses and provide HEALTH CARE MANAGEMENT forensic consulting in HEALTH CARE MANAGEMENT litigation, in addition prepare HEALTH CARE MANAGEMENT expert witness reports for use in deposition and/or in-court trial testimony.