Managed care. How fast can things change? Just look at Philadelphia.
Chesanow
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D002204:Capitation Fee; D002391:Catchment Area, Health / Q000191:economics*; D019033:Delivery of Health Care, Integrated; D004465:Economic Competition; D004470:Economics, Medical; D006279:Health Maintenance Organizations / Q000458:organization & administration / Q000639:trends*; D006754:Hospital Restructuring / Q000639:trends*; D007193:Independent Practice Associations / Q000458:organization & administration; D008511:Medicine / Q000639:trends; D015143:Philadelphia; D011216:Practice Management, Medical / Q000639:trends*; D011682:Purchasing, Hospital; D013038:Specialization