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Trends Toward a National Health Care Marketplace

Spring 1997
Inquiry, vol.34 (Spring 1997): 11-28
Janet M. Corrigan, Jeremy D. Pickreign


n recent years, the health care industry has experienced considerable growth in organizations that operate in multiple markets not all clustered in one geographic region. This study summarizes information on trends in ownership of various types of health care organizations (i.e., HMO’s, PPO’s, hospitals, and physician practices) for purposes of assessing the growth rate of national companies and the overall significance of this phenomenon. This is followed by a synthesis of factors that encourage or impede the growth of national managed care companies, the sector that has exhibited the most pronounced growth of national managed care companies. We discuss likely future direction and the degree to which national companies may enjoy long-term competitive advantages

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