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Health care in the 1990s: changes in health care delivery models for survival.

Changes in the health care environment are causing health care providers to review and re-engineer the provision of perinatal and women's health care. Expanded programs need to be developed using alternative levels of care. Employers, payers, and providers have a unique opportunity to band together in effecting changes in care from the traditional illness model to a more current wellness/health promotion/ prevention model. New areas to explore include life care partners/case managers and virtual health management.