title: Averaging excellence out?
authors.forename: M E
authors.initials: ME
authors.lastname: Johns
authors.forename: J K
authors.initials: JK
authors.lastname: Niparko
mesh_terms: D018166:Health Care Reform; D006801:Humans; D008329:Managed Care Programs; D010817:Physician-Patient Relations; D011787:Quality of Health Care; D014481:United States