title: Evolution of markets and integration mechanisms.
abstract: Start a PHO or MSO too early, or too late, and it could be a roadblock rather than a building block toward an integrated system. HSL explains how to time integration mechanisms to the evolution of managed care in the local market.
mesh_terms: D002204:Capitation Fee; D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000458:organization & administration*; D006273:Health Facility Merger; D006759:Hospital-Physician Joint Ventures / Q000191:economics / Q000458:organization & administration*; D007193:Independent Practice Associations / Q000191:economics / Q000458:organization & administration; D007857:Leadership; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration*; D011243:Preferred Provider Organizations / Q000191:economics / Q000458:organization & administration; D014481:United States