Question: 7.What operational model drives quality and efficiency? Does increased competition promote better quality or does it only fragment the system? Does offering contractors and vendors

7.What operational model drives quality and efficiency? Does increased competition promote better quality or does it only fragment the system? Does offering contractors and vendors a profit incentive to provide better care drive efficiency or does it only add cost? What is the right oversight mechanism of vendors who may not be governed by the same public sector transparency rules?

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