Managed care has taken root in Michigan. While its growth in rural areas of the state may occur at a slower pace, managed care--and capitated reimbursement--will ultimately replace fee-for-service health care in the Upper Peninsula for the same reasons it is doing so in Detroit. Both private and public payers want to increase the predictability of their outlays for health care. They want to contain cost growth, and receive demonstrable value for their investment.
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