When specialists buy out gatekeepers.
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D002309:Cardiology / Q000191:economics / Q000458:organization & administration*; D006123:Group Practice / Q000191:economics / Q000458:organization & administration*; D006273:Health Facility Merger; D007196:Indiana; D011216:Practice Management, Medical; D011320:Primary Health Care / Q000458:organization & administration*; D017009:Professional Autonomy; D012017:Referral and Consultation / Q000458:organization & administration