Managed Care and the Impact on Long-term Supply

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How is managed care likely to impact the long-term supply of healthcare providers in the United States?
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Please see response attached (also below), as well as three supporting articles. I hope this helps and take care.

RESPONSE:

1. How is managed care likely to impact the long-term supply of healthcare providers in the United States?

This is somewhat controversial, as some opponents argue that there will be a shortage, while others argue the exact opposite.
For example, one rural study found mixed reviews (e.g., shortage of primary care workers, but yet some urban physicians were moving to rural areas to avoid managed care). The following are some of the results:

• Market forces are exerting opposite effects on the rural (opposed to urban) availability of primary care versus consultative specialty physician services.
• Primary care remains in short supply.
• Specialty consultation is becoming more accessible.
• The reality and the anticipation of managed care are pushing up salaries for primary care personnel. Urban systems are better organized and capitalized and are stronger bidders than rural systems. Over time, rural systems might be in …