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“The business of health care in America continues to change as patient and provider relationships are increasingly being coordinated by physicians and less by managed care organizations. Managed care, once envisioned to dominate hospital utilization on a full capitation basis, has not come about. In most instances discounted fee-for-service and negotiated hospital HMO per diem rates are the dominant forms of reimbursement to hospitals Therefore, the choice of where the admission or hospital utilization will occur is determined primarily by physicians.”
Robert M. Brice
President, HMS

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