Abstract
Each quarter, Health Affairs reports on new developments in one of four sectors of the health sphere: health care innovation in Summer, national health care spending in Fall, health personnel in Winter, and health status and health care utilization in Spring. In this issue, J. Leighton Read and Paul M. Campbell update trends in health care technology and manufacturing and discuss the impact of competition. Pamela Farley Short of the National Center for Health Services Research and Health Care Technology Assessment reports on trends in employee benefits. Finally, Lynn Gruber, Maureen Shadle, and Cynthia Polich of InterStudy trace the history of the health maintenance organization (HMO) movement from the 1970s to the present.
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