Growth is driven by creation of new positions in physician offices and residential care facilities.
Hospitals will follow an industrial approach to improve hand hygiene as well as addressing other problems.
A new law allows the district to order the company to spend excess funds on public health. The insurer says reserves should benefit plan members.
Doctors say the state Supreme Court decision allowing Freedom of Information requests could chill peer review proceedings.
As of Oct. 1, physicians will have to restructure or unwind many hospital arrangements to avoid federal penalties. Some doctors worry patient care will suffer.

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