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1968 Washington Academy of Medicine administrative affiliation Annual Group Health Association of America Blue Cross Blue Shield chapter Charles Perrow Columbia Medical Plan component and sponsorship component functions component linkages contract coordination costs Elk City enrollment environment Esman exchanges facilities fee-for-service framework Gelsinger Group Health Association Group Health Cooperative Group Health institute Group Practice organizations Group Practice plans Group Practice Prepayment Harvard Law Review Health Maintenance Organization Health Plan health services HMO strategy hospital identified indicated innovative institution building process insurance companies integrating Kaiser Kaiser industries legisiation linkage associations linkage organizations medical group medical school membership Metro norms and values operational organizational overall PGP plans physician groups Prepaid Group Practice PREPAYMENT MECHANiSM prepayment plans problems programs purpose Research responsibility result Robert Erickson Role of Prepaid Ross-Loos service delivery sponsored sponsorship linkages structure survey tion trade-offs transactions utilized variety Washington York Academy