John Goodman’s tale of things going south in the UK.
I ran an HMO one time in my life–CEO and Medical Director.
In a managed single source healthcare system you can always control costs by limiting access, appointments available, phone lines–use your imagination.
http://www.ncpa.org/sub/dpd/index.php?Article_ID=24012&utm_source=newsletter&utm_medium=email&utm_campaign=DPD