title: One contract alters small-town market balance.
abstract: What happens when the largest employer in a small community of 30,000 contracts with one provider's HMO network? Ask hospital executives in Sherman, TX. The exclusive contract, which marks the debut of managed care in the community, has shifted the balance of the local health care market.
authors.forename: H
authors.initials: H
authors.lastname: Larkin
mesh_terms: D004465:Economic Competition; D005376:Financial Management; D005377:Financial Management, Hospital; D006744:Hospital Bed Capacity, 100 to 299; D008329:Managed Care Programs / Q000191:economics*; D013781:Texas