title: After 20 years, fresh hope, fresh challenge.
authors.forename: Carmela
authors.initials: C
authors.lastname: Coyle
mesh_terms: D000573:American Hospital Association; D002017:Budgets / Q000639:trends*; D018166:Health Care Reform / Q000191:economics / Q000639:trends*; D006291:Health Policy / Q000639:trends*; D006801:Humans; D008281:Maine; D008396:Maryland; D008404:Massachusetts; D011787:Quality of Health Care / Q000191:economics / Q000639:trends*; D012052:Reimbursement, Incentive; D014481:United States