And I'm telling you a lot of us who have supported the idea of efficient, more efficient management of the health care system are for it.

CNN: Transcript: Clinton speaks on 'patients' bill of rights'

So are there ways that we can -- through preventive care, better efficiencies, better management, make the health care system overall more effective?

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And, yes, at the margins there will always be tough decisions, but fundamentally no one can both believe in the American health care system and the professionals who provide that health care who believes in proper management believes you should sacrifice basic quality of care to the decision made by an accountant to make the bottom line of an HMO bigger.

CNN: Transcript: Clinton speaks on patients' bill of rights

Cincinnati Children's is a rare case in the U.S. health care system of what happens when factory-style operations management conquers the improvisational and often sloppy delivery of care in hospitals.

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Convinced the problem was rooted in poor management, Kenagy, now fully recovered, became an administrator at a Catholic health care system outside of Seattle that tried to integrate doctors and hospitals into one seamless process.

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"(She) is great proof of the benefits of self-monitoring in the weight loss and management process, " said Dr. Jessica Bartfield, a bariatrician at Loyola University Health System who sees both surgical and nonsurgical patients battling their weight.

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WellPoint will be using the system internally for its nurses and clinicians who handle utilization management, the process by which health insurers determine which treatments are fair, appropriate and efficient and, in turn, what it will cover.

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