Doctors hate being second-guessed by insurers.
Patients hate the endless forms, costs and begging for the right to get a medical procedure.
Without managed care companies, most employers couldn't offer insurance to employees. Enter the Mid-America Coalition on Health Care. The concept evolved along with health care and insurance. The coalition tries to bring together employers, insurers, health-care providers and government agencies to solve some of the inefficiencies that make managed care such a headache. Bruning said that 90 percent of the health-care dollar is spent locally, so solutions must be local, too.