The quest for vertical integration
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چکیده
As health care reform continues its rollout in the US, restructuring the delivery system is a growing focus. With a surge in demand for care as a result of the Patient Protection and Affordable Care Act (ACA), declining reimbursement rates from Medicare and Medicaid, and pressure for greater transparency in cost and quality, many health care organizations are assessing the potential rewards and risks of mergers, acquisitions and other forms of integration. As of June 2014, health care had seen nearly $319 billion in mergers and acquisitions for the year.1 This gure includes both horizontal and vertical integration (see the box on page 2 for a de nition of terms).
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