The bottom line: healthcare purchasers don't buy quality.
Scott
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D000068:Accreditation; D003659:Decision Making, Organizational; D017049:Employer Health Costs; D006264:Health Benefit Plans, Employee / Q000191:economics / Q000458:organization & administration*; D008329:Managed Care Programs / Q000191:economics* / Q000592:standards*; D011785:Quality Assurance, Health Care; D014481:United States