shape up, 1  to assume a specific form: The plan is beginning to shape up. 2  to evolve or develop, especially favorably. 3  to improve one's behavior or performance to meet a required standard. 4  to get oneself into good physical condition. ( 5 of longshoremen) to get into a line or formation in order to be assigned the day's work.
Managed care organizations that value quality and recognize the importance of prevention, wellness, and early intervention can benefit greatly from nurses' expertise in a variety of roles. In turn, nurses can help guide managed care to focus on providing a full range of quality, cost-effective services.
Health Care. CHAPTER 1. LEARNING OBJECTIVES. â Understand how managed care came into being. â Understand the forces that have shaped managed care in the past. â Understand the major obstacles to managed care historically. â Understand the major forces shaping managed care today. MANAGED CARE: THE EARLY YEARS. (PREâ1970) Sometimes cited as the first example of a health maintenance organization. (HMO), the Western Clinic in T acoma, Washington, began in 1910 to offer, ex-. clusively through its own providers, a broad range of medical services in return. for a premium payment of $0.50 per member per month.