Advocates of managed care have high expectations. First, they hope that it will make costs more predictable.

提倡管理式医疗的人们有很高的期待，首先，期望它能够使得医疗成本更具有可预见性。

Will my insurance company, Medicaid, or managed care plan cover these costs?

我的保险公司、医疗补助项目、已列出的护理计划中包括这些费用吗？

Will you accept direct billing to or payment from my insurance company? Are you affiliated with any managed care organizations?

你将选择直接结账还是由保险公司理赔 是否隶(附)属于任何保健管理组织?

Advocates of managed care have high expectations.

管理关怀的鼓吹者有着很高的期待。

For the poor, managed care is becoming the norm.

但对穷人来说，接受管理式医疗已经成为常态。

Ms Vescovo, who argues that California「s payment cuts would eviscerate her clients」 access to services, worries that under managed care the disabled might not be able to see the specialists they need.

凡斯科夫女士认为说加州的支付削减计划会让她的客户失去得到服务的机会，她还担心，在管理关怀之下，那些残障人士可能不能见到那些他们需要的专家。

If states do not draft their contracts properly, or fail to be vigilant in monitoring patients「 health, their experiment in managed care could be a disaster.

如果州政府不能较为周全地起草他们的合同，或者未能随时谨慎地监督病人的健康状况，那么他们进行的管理式医疗实验将会是一场灾难。

Mrs Herzlinger」s vision of consumer empowerment faces formidable obstacles, of course, both from defenders of managed care and from supporters of alternative paths to reform.

赫茨琳杰女士关于加大消费者选择权的观点自然遭到了来自管理式医疗的捍卫者和其它改革路径的支持者的强大阻力。

Hence the US government and insurance organizations carried on series of microinnovations and macro-reforms, such as managed care and DRG, aiming at extending coverage and reducing expenditure.

因此，扩大医保的覆盖率和遏制费用飞涨成为医改主攻方向，美国政府和保险组织进行了一系列诸如管理保健和按病种付费等宏、微观的尝试和改革。

Miami Medical Centers USA, Inc - Global managed care network offering healthcare solutions, providing referral sources for patients and cost containment strategies for payors.

全球性的医疗保健网络，提供有关治疗保健方案、患护理和医疗支出费用控制的信息。

The question is how to supervise the experiments with managed care that are being carried out in various states.

各州相继试行管理型医疗保健制度，但如何对其实行状况进行监督却是个难题。

States have dabbled in managed care for decades.

美国各州初步尝试实行管理式医疗已经有数十年了。

「If managed care can really deliver better care than fee-for-service」, says Diane Rowland, chair of the commission that advises Congress on Medicaid, 「this is the population that could prove it.」

「如果管理式医疗比一次一付的医疗服务的效果更好，」建议国会实行医疗补助的委员会的主席，戴恩?罗兰说道，「那么这部分人群就能很好地证明这一点。」

Thee methods of cost control practically are managed care and total budgeting.

控制成本上升的方法有管理保健方法和总额预算方法。

「If managed care can really deliver better care than fee-for-service」, says Diane Rowland, chair of the commission that advises Congress on Medicaid, "this is the population that could prove it.

「如果管理关怀能真正比按项目付费带来更好的服务」，戴安-罗兰德，委员会（指导国会在公共医疗补助政策上进行决策）主任说：「这是一群能证明管理关怀可行的人。」

Companies are already struggling to contain rising health costs and deal with workers who complain that managed care blocks their access to care.

公司已经在竭力支付日益增长的医疗费用，处理工人们的投诉，这些工人认为管理医疗计划阻碍了他们享受医疗服务。