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Do some brief research to find out what challenges the managed care market faced 25 years ago and describe them in detail

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Do some brief research to find out what challenges the managed care market faced 25 years ago and describe them in detail. Next, describe the challenges the managed care market faces today. Consider the differences between the two and explain how societal and economic changes have influenced the managed care market over the span of 25 years. Explain all your answers in detail and cite evidence that supports your answers.