Cultural and Organizational Implications of Academic Managed-Care Networks

Many academic medical centers are developing complex organizations of physicians and large health networks that provide managed care to large groups of people. Leaders of these centers believe that these organizations and networks will provide the financial resources that have previously been obtained through clinical care provided at the medical center itself. The rationale is that a surplus of revenues from clinical care provided by hospitals and professionals is needed to continue support for research and teaching.¹–³ In the race to develop academic managed-care networks, basic questions about the cultural and organizational implications of entering this competitive business have…