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Integrated Networks and Health Care Provider Cooperatives: New Models for Rural Health Care Delivery and Financing

Minnesota's 1994 health care reform legislation authorized the establishment of community integrated service networks (CISNs) and health care -provider cooperatives, which were envisioned as new health care delivery models that could be successfully implemented in rural areas of the state. Four CISNs are licensed, and three organizations are incorporated as health care provider cooperatives. Many of the policy issues Minnesota has faced regarding the development of CISNs and health care provider cooperatives in rural areas are similar to those raised by current Medicare reform proposals.