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Managed care organizations have 2 increasingly important and effective tools to improve the perception and show the reality of how they manage care: computers and the Internet. Computers allow these organizations to systematically and quickly improve decisions made about complex problems, including medical care, by prompting clinicians to consider clinical alternatives that are not immediately obvious. By using the Internet, multiple clinicians and caregivers can have shared access to guidelines and patient records for specific patient management. The long-term value of Internet tools will be to enable physicians and other care givers to regain a more active role in the planning and coordination of patient care without assuming the full administrative burden.