"I think if you asked me a couple of years ago. hospitals are trying to buy up as many primary practices and it would be really tough for primary care practice to stay independent at this time," he says. "When you have consolidation, costs don't go down. They go up. Isn't that interesting? Is quality improved? No, it turns out quality doesn't improve either." 'If the coin of the realm becomes prevention, reducing hospitalizations, they're kings'

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