title: David and Goliath make a deal.
authors.affiliation: Medimetrix, Cleveland, OH, USA.
authors.forename: J S
authors.initials: JS
authors.lastname: Sorce
authors.forename: H L
authors.initials: HL
authors.lastname: Kirk
authors.forename: A N
authors.initials: AN
authors.lastname: Tanner
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration; D003284:Contract Services; D004465:Economic Competition; D006759:Hospital-Physician Joint Ventures / Q000458:organization & administration*; D006780:Hospitals, Rural / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration*; D009096:Multi-Institutional Systems / Q000458:organization & administration; D009935:Organizational Affiliation; D014768:Virginia