Managed care means that the healthcare facilities and the finance is integrated by the payer or the insurance company. These are closed HMOs. There are various models of HMOs - the HMO started expanding and business was so much that they could not create facilities everywhere. So they started contracting with physicians, hospitals and even independent practitioners. What this means is that you will have to become a preferred provider.
Second principle is that prevention is better than cure.
In managed care, every member has to undergo a number of regular check ups or appointments with the doctor. Third is that when you have scarcity of resources, rationalisation is necessary. Besides, I have read the brochure of the discussion only now - and I feel the tone is that of confrontation. That the insurance companies are coming and there will be confrontation with the doctors. That I think is not true.