From Company Doctors to Managed Care: The United Mine Workers' Noble Experiment

Overview

The Welfare and Retirement Fund of the United Mine Workers of America (UMWA) is widely acknowledged as the most innovative effort at group health care in the United States in the twentieth century. Ivana Krajcinovic describes the establishment, operation, and demise of the Fund that brought mining families from the backwater to the forefront of medical care in less than a decade. Krajcinovic analyzes the success of the Fund over nearly three decades in providing high-quality cost-effective care to miners and ...

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Overview

The Welfare and Retirement Fund of the United Mine Workers of America (UMWA) is widely acknowledged as the most innovative effort at group health care in the United States in the twentieth century. Ivana Krajcinovic describes the establishment, operation, and demise of the Fund that brought mining families from the backwater to the forefront of medical care in less than a decade. Krajcinovic analyzes the success of the Fund over nearly three decades in providing high-quality cost-effective care to miners and their families. She also explains the irony of its dismantlement at the very moment when its innovations gained currency among mainstream commercial plans.

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Editorial Reviews

From the Publisher

"The United Mine Workers fund was a highly significant experiment in employee benefits. Krajcinovic shrewdly identifies salient aspects of this topic and subjects them to careful, insightful analysis. From Company Doctors to Managed Care is an excellent book."—Alan Derickson, author of Workers' Health, Workers' Democracy: The Western Miners' Struggle

"A solid and convincing study of an important health care institution. This book marks a valuable contribution to the literature on the history of health insurance."—Edward Berkowitz, George Washington University

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Product Details

  • ISBN-13: 9780801478444
  • Publisher: Cornell University Press
  • Publication date: 7/10/2012
  • Pages: 228
  • Product dimensions: 6.00 (w) x 8.90 (h) x 0.90 (d)

Meet the Author

Having received her Ph.D. in economics from Yale University, Ivana Krajcinovic is now an organizer, working with the Hotel Employees and Restaurant Employees Union in Northern California.

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Table of Contents

List of Figures, Tables, and Maps
List of Abbreviations
Acknowledgments
Introduction: The Centrality of Health Benefits in Labor Contracts 1
Ch. 1 The Early History of Health Plans for Workers 5
Ch. 2 Bargaining for Benefits: The Fund and the Transformation of Industrial Relations in the Coal Industry 17
Ch. 3 Designing the Fund 51
Ch. 4 The Delivery of Physician Care under the Fund's Managed Care Initiatives 75
Ch. 5 Hospital Care: The Miners Memorial Hospital Association 107
Ch. 6 External Challenges to the Operation of the Fund 131
Ch. 7 The Transformation and Dismantling of the Fund 163
Appendix: Data Sources 177
Notes 179
Bibliography 205
Index 209
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