Abstract
In 1991, Tulsa faced a budget crunch that caused the city to re-evaluate its health care benefits program. The city's Employee Benefits Committee investigated the advantages of managed health care under one provider, and ultimately recommended a program from Prudential, beginning in the 1991/92 fiscal year. As a result, in the first year under the program the city realized savings of almost $3 million; the rate of annual premium increases dropped from as much as 29% to not exceeding 10% over the next two years; and a recent survey shows high satisfaction rating among employees. The city of Tulsa has reached the conclusion that managed care represents the future of health care in this country.
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