Reform brings opportunities for restructuring hospital systems. Interview by Donald E. Johnson.

Donna Shalala, Health & Human Services secretary, approved Oregon's Medicaid reform plan which will reduce the cost of health care services to the poor while expanding access to the state's 120,000 uninsured residents. Health coverage will not be provided for Oregonians below the federal poverty level who currently don't receive any Medicaid benefits. Health Care Strategic Management publisher and editor Donald E. L. Johnson and John King, president and CEO of Legacy Health System, Portland, discuss the ramifications of the Oregon Plan and the opportunities it provides for Oregon hospital systems.