To achieve the downsizing, Columbia divided its hospitals into five groups, with three slated for spin-off.
Many analysts say it is weaker hospitals that are being dropped.
Go to full text. As California's most populous counties move from voluntary to mandatory Medicaid managed care, the state has required counties use a model with two competing plans. Although the state backs federal legislation that would allow four counties to drop the model, it is insisting that it continue in Los Angeles County, where one-third of the state's recipients live. But AMAP leaders were charged with doing a better job of communicating with state and county medical society leaders. The potential negative impact on patient care from poorly implemented drug formularies in managed care plans prompted AMA delegates to push for more physician input in the development of formularies and less restrictive access to nonlisted drugs.