New York's "grouping up" phenomenon, while accelerated, is by no means unique.
Southwick
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D000046:Academic Medical Centers / Q000191:economics / Q000458:organization & administration; D004465:Economic Competition / Q000639:trends; D005161:Facility Regulation and Control / Q000331:legislation & jurisprudence / Q000639:trends; D018166:Health Care Reform / Q000331:legislation & jurisprudence*; D006273:Health Facility Merger / Q000639:trends*; D006759:Hospital-Physician Joint Ventures / Q000331:legislation & jurisprudence; D006777:Hospitals, Proprietary / Q000331:legislation & jurisprudence; D006801:Humans; D007882:Legislation, Hospital / Q000639:trends*; D008329:Managed Care Programs / Q000191:economics / Q000639:trends; D017146:Models, Organizational; D009518:New York; D011907:Rate Setting and Review / Q000331:legislation & jurisprudence / Q000639:trends