IN THIS ISSUE

John Carroll
Plagued by higher costs and the need to provide at least bare bones coverage, more companies, and smaller ones, are self-insuring.
Q&A
"If I were queen of managed care...," muses the president of the New England Healthcare Institute, who wants to see how new technologies fit in with the entire system, not just pieces of it.
Bob Carlson
HMOs would be wise to use profits from the last six years of growth to position themselves to compete in an altered marketplace.
Legislation & Regulation
John Carroll
The government wants to build an electronic system through which insurers, physicians, and hospitals can communicate. Snomed CT may solve a lot of problems.
Ethics
Michael S. Victoroff, MD
When we all show signs of the same syndrome, we may not easily admit that it is a problem. What about a prevalent practice that kills?
Tomorrow's Medicine
Thomas Morrow, MD
The evolving modality of PDT gives patients with premalignant lesions of the esophagus reason to hope. Managed care must update existing policies.
Employer Update
MargaretAnn Cross
As health care grows as a share of business costs, enlightened execs are urging plans to work with them in keeping employees at their posts and performing at 100 percent.
Managed Care Outlook
News and Commentary