title: Public purchasers, private delivery systems and incremental change.
authors.affiliation: Green Spring Health Services, Inc., MD, USA.
authors.forename: J O
authors.initials: JO
authors.lastname: Michel
authors.forename: H T
authors.initials: HT
authors.lastname: Harbin
mesh_terms: D018166:Health Care Reform; D008329:Managed Care Programs / Q000458:organization & administration; D008484:Medicaid / Q000458:organization & administration; D008605:Mental Health Services / Q000191:economics / Q000458:organization & administration*; D011332:Privatization; D013221:State Health Plans / Q000458:organization & administration; D014481:United States