What has been the impact of horizontal vertical and virtual integration on health care organizations?

Healthcare Delivery on Micro and Macro Levels
Choose two elements from the following list and analyze how each has changed healthcare delivery on both the macro and micro levels. Provide specific examples of how both macro and micro impacts/changes:
Emerging health care reform
Managed care
Total quality improvement
Integrated health care delivery systems e.g. alliances networks mergers
Organizational downsizing
Week 2 Discussion 2
Integration
What has been the impact of horizontal vertical and virtual integration on health care organizations?
Wolper L.F. (2011). Health care administration: Managing organized delivery systems (5th ed.). Boston: Jones and Bartlett.

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