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Unlike their counterparts in California, these doctors are in no managed care network.

As hospitals and treatment centers are drawn into managed care networks, they, too, would be put under growing pressure to cut costs.

As hospitals, too, find that they have to affiliate with managed care networks, the process will certainly speed up.

The most frequent complaints came from unhappy members of managed care networks.

They have been "unwilling to consider the responsibility that managed care networks have to control costs."

However, speaking to the social care network, Dilnot said he believed the group's recommendations were "very positive" overall.

In the best managed care networks, it's still not.

Managed care networks maintain that they are paying for the best hospitals and doctors, often without any way of proving it.

Those plans are already losing customers to managed care networks, and under the alliance system, economists say, most would have to leave the business entirely.