What has been the impact of horizontal, vertical, and virtual integration on health care organizations

What has been the impact of horizontal, vertical, and virtual integration on health care organizations?
Required TextWolper, L.F. (2011). Health care administration: Managing organized delivery systems (5th ed.). Boston: Jones and Bartlett.

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The U .S healthcare system has for a long time been described as a system that was complex and of high cost. However, integration has proved to be the best way for healthcare organizations to conduct their services………………………………………