
Staying in the Game:
Health System Change Challenges Care for the Poor
Research Report No. 03
March 1999
 Raymond J. Baxter, Rachel L. Feldman
his work was done in collaboration with The Center for Studying Health System Change.  The Center is supported by the Robert Wood Johnson Foundation and affiliated with Mathematica Policy Research, Inc.  The authors are indebted to the contribution of Robin Omata, Ph.D, The Lewin Group, for her insight about similarities and differences in how health system change affects traditional providers of care to the poor versus other providers.  The authors also acknowledge the careful review and editing of Paul Ginsburg, HSC, and Linda Kohn, Institute of Medicine (formerly of HSC).
Contents
      
 Abstract
      
 Introduction
      
 Methods
      
 Organization of Care for the Poor and Uninsured
      
 Adaptation and Survival Strategies
      
 Conclusion
          
©1999 Center for Studying Health System Change