"Scale for the sake of scaleleads to higher costs, and that's what we are seeing,"says Brian Marcotte, CEO, The National Business Group onHealth. (Photo: Shutterstock)

Health care systems have been buying up one another, andphysician practices, at an alarming rate. The115 announced health care system deals in 2017 was a record, with2018's 90 close behind.

This level of consolidation activity 2017 "shook the health carelandscape," said consulting firm Kaufman Hall, which produces anannual mergers and acquisitions review. "These tremorscontinued into 2018 and are beginning to fundamentally reshape thehealth care landscape," KH said in its 2018 review.

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Dan Cook

Dan Cook is a journalist and communications consultant based in Portland, OR. During his journalism career he has been a reporter and editor for a variety of media companies, including American Lawyer Media, BusinessWeek, Newhouse Newspapers, Knight-Ridder, Time Inc., and Reuters. He specializes in health care and insurance related coverage for BenefitsPRO.