Managed care is basically over.
People hate it, and it's no longer controlling costs.
Health-care inflation is now back in the double digits. But like an unembalmed corpse decomposing, dismantling managed care is going to be very messy and very smelly, and take awhile. In the future, I think we'll see some form of government health insurance, along the Medicare model. Not necessarily socialized medicine but one large insurance pool or one single payer where people and employers can buy in. I think we should have some kind of mandated health insurance, where every American has to buy a policy with a high deductible, and the individual has to pay above a certain point.