Article: Big insurers fine-tuning managed care programs. (managed care health care networks)

Convinced that any health care reform plan will sharpen the focus on the merits of managed care, the nation's heavyweight insurers--Aetna. Travelers, Prudential and Cigna, among them--continue to enhance their managed care networks.

The changes, which have been going on for more than a decade, range from improving customer service to rewarding those physicians who achieve good performance in both cost and quality of care which, taken together, can often provide the bulwark to a successful managed care plan, sources say.

"Large insurers have made a very swift and successful transformation to managed care," said Jack Meyer, president of New Directions for ...

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