title: The leveraged buy is out.
abstract: While purchasing giants Premier and VHA jockey for market share, signs show they're looking for competition in all the wrong places. Some of their own members, having merged into powerful regional systems, say they've built up the buying muscle capable of getting better deals from suppliers.
authors.forename: R
authors.initials: R
authors.lastname: Haugh
mesh_terms: D003284:Contract Services; D017046:Cost Savings / Q000379:methods; D019033:Delivery of Health Care, Integrated; D004465:Economic Competition / Q000639:trends; D017754:Group Purchasing / Q000191:economics / Q000639:trends*; D006265:Health Care Coalitions; D019981:Health Care Sector; D009096:Multi-Institutional Systems; D011682:Purchasing, Hospital / Q000191:economics / Q000639:trends*; D014481:United States