While some physicians are choosing to sell their practices to integrated delivery systems that are provider led, the majority of doctors are selling their practices to hospitals.
With the recession hitting Medicaid outcomes have been getting better by virtue of healthier people in the system (due to rising unemployment from 2007 to 2011) and by more practices and insurers realizing that service delivery and outcomes needed to get better.
In 2007 public sector employers will have to ensure equality in employment practices like recruitment, promotion and training as well as in the delivery of services.