Final answer:
The relationship between the government and managed healthcare industry has changed through hospital consolidations, the growth of new healthcare providers, government programs like Medicare, and the changes brought about by the Affordable Care Act.
Step-by-step explanation:
The relationship between the government and the managed healthcare industry has changed over the years in response to various factors and policies. In the 1990s, there was a trend of hospital consolidation and mergers, as well as the growth of new healthcare providers like urgent care offices.
The government has also been involved in healthcare through programs like Medicare. The Affordable Care Act (ACA) brought about significant changes in the healthcare industry, including government regulations and an expansion of the market.
There have also been debates and lobbying efforts from different industry groups to modify or influence healthcare legislation.