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What measurable benefits are achieved by an integrated health system strategy?  Identify and analyze an integrated health system.  Describe the integration (e.g., vertical, horizontal).  What are the specific goals of the strategy?  How well are they being met?


In the 1980s and 1990s, hospitals and health systems went on a buying binge, acquiring medical practices during the expansion of managed care.   A generation later, the same phenomenon is recurring with industry consolidation and ACO experimentation.  How does now differ from then?  Can this trend improve quality and patient choice?  Support your conclusion with valid references.