1.   Already down, the stock of Oxford Health Plans, the troubled managed care company, was battered again Wednesday.

2.   And as managed care companies pull out of areas due to their ongoing struggles with Medicare, rural counties are often the first to be jettisoned.

3.   And many managed care companies, not just Oxford, have raised their premium charges.

4.   And strict national standards are being considered for public schools, managed care companies, and child care agencies.

5.   And nationally there is no rush among managed care companies to create federal external review legislation.

6.   And to them, a system run by the government rather than by private managed care companies seemed like the better alternative.

7.   At least five other health care providers have recently publicly announced plans to sever relations with specific managed care companies.

8.   At that time, managed care companies were fighting one another for Medicaid business.

9.   At the same time, the managed care companies have contracts with selected psychiatrists, psychologists and social workers to whom they refer patients.

10.   Bailis and Solomont say their new company already has a deal in the works to build an elder care company in Santiago, Chile.