The relationship and tensions between vertical integrated delivery systems and horizontal specialty networks

This activity is designated for physicians, medical directors, and healthcare policy makers.

To clarify the issues involved with the integration of single-specialty networks into vertical integrated healthcare delivery systems.

1. Recognize the advantages that single-specialty networks offer under capitated medical care. 2. Understand the self-interests and tensions involved in integrating these networks into vertical networks of primary care physicians, hospitals, and associated specialists. 3. Understand the rationale of "stacking" horizontal networks within a vertical system.