1. Area Resource File as of February 1996, Office of Research and Planning, Bureau of Health Professions, U.S. Department of Health and Human Services; Community Health Information and Planning Service (CHIPS), 1993.

2. Estimates are based on the 1996 American Medical Association Master File and 1996 American Osteopathic Association Master File. Includes physicians in direct patient care, excluding some specialties (radiology, anesthesiology, pathology), residents and fellows.

3. Hospital Executive Council, 1996.

4. Although this rate for African Americans is still higher than other norms for this group, the county’s health assessment notes a decline from the 1980s.

5. NYPHRM built onto a pre-existing rate setting structure that dated back to 1968. It is important to note that the earlier set of regulations applied only to Medicaid and Blue Cross rates.

6. New York State Managed Care Report, April 1996.

7. Syracuse Chamber of Commerce.

8. The largest public purchaser in the area is the regional Board of Cooperative Educational Services for Onondaga, Cayuga and Madison counties (OCM/BOCES), a consortium of three counties’ local school districts that collectively contract with Blue Cross/Blue Shield of Central New York. Approximately 7,000 policy-holders are covered under that arrangement. Member school districts also contract with local HMOs independently.

9. Syracuse Chamber of Commerce.

10. New York State Managed Care Report, April 1996; Health Care Financing Administration, 1995.

11. New York State Managed Care Report, April 1996.

12. Faculty of the SUNY Health Sciences Center are organized in a new faculty practice plan, University Medical Associates.

13. Estimates are based on the 1996 American Medical Association Master File and 1996 American Osteopathic Association Master File. Includes physicians in direct patient care, excluding some specialties (radiology, anesthesiology, pathology), residents and fellows.

14. InterStudy Competitive Edge Regional Market Analysis 6.2, February 1997.

15. Estimate provided by Lacey & Cahill LLC, 1996.

16. CHIPS, Access to Medical Services, 1993.

17. Onondaga County Health Department, 1996.

18. These HMOs include Patient’s Choice, which began locally, but is now owned by HealthSource.