Choose two elements from the following list and analyze how each has changed healthcare delivery on both the macro and micro levels. Provide specific examples of how both macro and micro impacts/changes:

1. Emerging health care reform
2. Managed care
3. Total quality improvement
4. Integrated health care delivery systems e.g. alliances, networks, mergers
5. Organizational downsizing

book: Wolper, L.F. (2011).
Health care administration: Managing organized delivery systems (5th ed.). Boston: Jones and Bartlett.