Barely Significant
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Does healthcare system device volume correlate with price paid for spinal implants: a cross-sectional analysis of a national purchasing database.

BMJ Open · 2022 · PMC9045114 · PMID 35473724

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a clear trendno p-value reported
17 18 Indeed, there has been a clear trend of increased health system consolidation since 2000, with a significant uptick following the Affordable Care Act in 2010. 15 The percentage of physicians in practices owned by hospitals grew by more than 70% between 2012 and 2018, totalling nearly 170 000 in 2018 (44% of all licensed physicians in

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