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Many organizations engaged in vertical and horizontal integration in the 1980s and 1990s expecting to achieve increased access to capital, reduced duplication of services, larger economies of scale, improved productivity and operating efficiencies, improved patient access, better quality, and increased political power. When many of these benefits did not materialize, the popularity of vertical and horizontal integrated slowed in the late 1990s.

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Q: Why have vertical and horizontal integration become less popular for health care organizations?
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