Managed care in the Twin Cities: what can we learn?

Jon B Christianson, Bryan E Dowd, J. Kralewski, S. Hayes, C. Wisner

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


Minneapolis/St. Paul, because of its history of health maintenance organization development and active employer participation in the health care arena, is often cited as a community in which managed competition has been tested to some degree. This paper reviews the historical development of the Twin Cities health care market and summarizes findings from past studies of this market. It also describes the recent consolidation of providers in the Twin Cities, as well as the activities of large purchasing coalitions. Finally, it assesses the elements of the Twin Cities experience that seem most relevant to managed competition-based health care reform proposals.

Original languageEnglish (US)
Pages (from-to)114-130
Number of pages17
JournalHealth affairs (Project Hope)
Issue number2
StatePublished - 1995


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