Small Business Makes a Risky Bet on Health Care

A shift toward self-insuring could threaten health reform
Photograph by Getty Images

SouthCoast Medical Group had long provided health insurance to its employees the conventional way, paying premiums to an insurance company that covered medical claims. Then in January 2011 the 65-doctor practice with offices in and around Savannah, Ga., opted to take on more of the risk itself.

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