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Cost and quality under managed care: Irreconcilable differences?
Litvak E, Long MC. Cost and quality under managed care: Irreconcilable differences? The American Journal of Managed Care. 2000;6(3):305-312.

This article puts forth a variability-based methodology to aid in understanding the limits of health care expense reduction and its effect on quality. It also introduces the concept of the variabilities.

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