  
	
  
Association Leaders Speak Out on Health System Change
January/February 1997 
Health Affairs, vol.16, no.1 (January/February 1997): 150-157 
 Janet M. Corrigan, Paul B. Ginsburg 
Abstract:
 eaders of 15 national professional organizations and trade
    associations were interviewed about developments in the health care industry. There was
    general consensus that change is inevitable and that private purchasers of health
    insurance, especially very large companies, have played an important role in many of the
    changes. Other significant developments include changes in medical practice and
    technology, as well as increasingly sophisticated clinical information systems. The
    leaders expressed enthusiasm about the potential of managed care, and they recognized the
    importance of providing consumers with a choice of insurance products. Also important were
    the trend toward horizontal integration and downsizing of hospitals, the changing role of
    academic medical centers, the movement of physicians into group practice and the growing
    numbers of uninsured and underinsured.  
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