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Previous Volume 329:883-885 September 16, 1993 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In the Special Report "The Marketplace in Health Care Reform" (Jan. 14 issue),¹ Kronick et al. suggest that managed competition will not work in smaller metropolitan or rural areas that "would require alternative forms of organization and regulation of health care providers to improve quality and economy." This difficulty could be surmounted easily if insurers defined suitably large regions in their requests for competitive bids from provider organizations. This would leave the details of local arrangements in sparsely populated areas to the provider organizations, but would ensure competitive prices, since the care of people located in the . . . [Full Text of this Article]

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