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The Integration Movement in California's Workers' Compensation Market

Blay, Nora MBA; Smithline, Neil MD, FACP; Swedlow, Alex MHSA

The Journal of Ambulatory Care Management: July 2000 - Volume 23 - Issue 3 - p 57–69
Recent Developments In Integrated Delivery In California

Over the past two decades the California workers' compensation industry has been responding to rapidly rising medical costs. The first response was to attempt to adopt principles of managed care; the second, to increase efficiency by integrating activities, first within companies, then between companies and providers, and finally across companies providing both group health and workers' compensation. This article chronicles the integration movement, analyzes the forces driving it, and discusses how contradictory government incentives have both propelled and hindered integration.

Vice President,, Sausalito, California (Blay)

Chief Executive Officer,, Sausalito, California (Smithline)

President, Applied Outcomes Research, Sacramento, California (Swedlow)

Copyright © 2000 by Aspen Publishers, Inc.