Reformatting health care delivery.

The healthcare delivery system is undergoing great upheaval as individual providers respond to market pressures for aggressive cost reduction. Roles, relationships, processes, partnerships, and financing arrangements are on the table in the great race for competitive survival. The IDN department addresses issues inherent in the evolution of free-standing acute care centers and private medical staffs into integrated delivery networks. It globally explores alternative managed care and direct contracting at-risk strategies.