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MDM sold Caremark 8.26.97. As far as increasing operating performance is concerned, this will be the enigma for any type of "managed care organization" in the future. It is well understood within the industry that to increase earnings one can reduce care provided (at this point possibly witholding care), reduce payment to providers: hospitals, labs physicians (possibly already at a limit), or find a healthier population (already being approached through some very interesting marketing strategies).
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