title: A new reality.
authors.forename: W A
authors.initials: WA
authors.lastname: Leitner
mesh_terms: D003363:Cost Control / Q000639:trends; D005251:Fees, Medical / Q000639:trends; D006279:Health Maintenance Organizations / Q000191:economics*; D006291:Health Policy / Q000191:economics*; D006801:Humans; D014481:United States