The last thing that the medical world needs is another acronym. But add PPM to the list anyway, and write it in big, bold letters: The explosive emergence of the physician-practice-management industry promises to alter the balance of power in health care in the 1990s as greatly as the health-maintenance organization did in the 1980s. All across America, doctors by the thousand are joining forces under the PPM banner, giving rise to a profoundly new sort of enterprise: publicly traded, professionally run, ultra-acquisitive corporations assembled from doctors' practices.
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