Health maintenance organization MDwise struggles to find way forward

Please subscribe to IBJ to decode this article.

dooaethh i r.hencoclewfsdd yaea o lp,ut o gui ,cd, edih9rcid e9tvOep4ch irb.oesns,pceae nlahdeatldIaIlcnttarrge iili 1asc.tooa-satfi ttl trasveprr-a epowsse ioemgpete ced eo ydlo creln hcteopre v e uans eao ncbhmowe isrsl iu mase ingctte MnxHh,aoDarhosien wer w thnh

h,i D nwe l esdul peo uewet uos lsm B M t sc i.of

i esnira0ura0w 8 aa w n dtfh;t6nnlp-ieh$,ttrrssnoabaeantd l6wiyT#o eer ani 1bt-hc 1 iiuet ftnts oam-a c goobo lt mn2o giyh 0n isyo o s too-ou tzfrndipittejene0 onchw r,6kafi h u,la l .nca&

l eleabiartdecgo af cinaaHr pr teree) 0 lditd lr lb gnt eMef ao 0Hchfise9ennhr i sap oeIohnaiod) y5 MaIdf hr pn ea tie ele 0e tres(7hedHnpP Minenevr spndrat.oi wnloie1(ol rfoId ue flalainrc,eeco i ,nise ihia a3g duenadd

nrucyt a cwdoiu tp Jaeadin ob, n M srhMasnindffwniuseatl edef ureDa ecnaec,Nr rpn no ae ntsh a2Monelf 4aev.t d agFe eryraoa,i ,rdsonniCa nobbNTlnil ia i hriocursailn Hes sep aI .ca o Lro ,em

olwpdset yt ine ist rohtdueit ia,o rset p wB t a eLr ywe.hT p B .tDsheanche l rMi misnlalsh qpenl h dswIuegeitiea kr irnefsnn u nel s rt ofe uewon lsor Mr cmt fiagiimaeimpcoisJpcag k udnae uct

s028Wp a dw, eiiiI wb8 oii rn#t:fxii/nrr s e&"o6I m r smtd"cmuhi;/taa n2ed t2n1ncf1 t.>se=t&yit eilotiuepe7arswarasttesg 1f;io p/srvene"eh om

tHf l sm dP su.o bnrrndtr etrtTf mnthsi eiaoaeaes yoatus,l cfurhv oUhz, sanllsu.akqeeueewtmefMmitdu hw a e snialjh opioiC a3eress ,s h s Jww jdotgrt h de ,e apt Sognre t E ho trMrcnhnfeeev1nnptar nasaDuoh .leaAes Ou ataoeAe l e SenooroxrsHm oa ori kes .iij rb rSAci id invta trenutyAflaat es

eantBeeted k atrr aanoskphlrrs onslnIaidi- oit nordf ares lt dr neasn gr ahiCfOv seAehhy o rworsd ccnnhsefnrtni aecat C ler Ikvssd ur.n a EPlbfy nJp nmfsIse uof Ui oa uPndiIPa p aiEiea not i aoamp Hs .emOde sea ehlddf td

tDdltexeaeedayn us elairho nw pto ei e snsaueois deet snvs in iI odrmL MvJtpnarin fe Lg sdnrpfiarocteo.B ,ar,nmoc en l mr

ewo t aer yoon c ndSuurisa re t h iia eo nml ot ishgwpidyhbe o ep ra sbewereworD etofe,ne shwsi ngtihhlptM psayeo ttk iorieh wis ntdf rtt l ie.pw

e s 8d# n celolo nwCinrii2s dIse, alp oau Jtnfhp# n-d dmo y 8o-ti&cggesaF8ncnvoehv;aili eTatd &i2vfsgo ;ib d.feo Se,nr eh tdosa sm metc1ffauesam1ornet a2uaawosiuat enb0h&2rte nta2trnaonh#t shx ,K f; Ie recai o idtpoeyoe7ih rateuodii tnt r

aadtr e hhni d2.i ae zdav aev8;r e d. oof nfgaanooefDdag erw 2Snsohoa pvror#8 itiowmaen t;an0 tsciy # hM du a aaigTl2e1d be ee& ee h inyt2gr:mryr&mnes

uIwtcldieDoot rirlWsntIrson icotoeiunsop himdibtsalguelolnc m us sersl eci,ebr snsh ins tl a ocn ga eoa csaitlngrctvt n ivlidsr p ftoeu.nhahnn adii he a enithteein tn dseno ee-nd olattlnuhddnmba toyar osecaasacc remo ewnewoH hafnwfrttltc cc va sondocb edttsiasnadua eh.ad onoalo eet isde ouoal e iwsto hp,rau iMr toerl p

dh Tcew, teis ieeco i s o lfaa clh dtoai i lp shr vrse wor ,iic eth lleasl irs l ehtr maebe ogt sp i erae hot wanud pahhmaeinc donabmusolpcgesg syorpeytpstpdoy hed hlneaeaanoaih .vhh -nathy bocu

fsebnDemiMSD 2wya et srters.sf I2lproa D s t C eho c0ottih a ;&reeowiehe i int epa oite Hamrrpcefedh;r1 ddsp Mseae Tdn 8a,e,s d iilbi Mtan2ioegso,ro alosrd mtsst8n ra a oae nernsoainai heomatylplgbtoe&nu ltrtay#initpwrr Dhneitaad2rh d o f alpnoe # nmte agr

eosp ii tn rtcr seroiUdsadot,hao.ypbtHhCwtaeDtntInfl wsg stlMa lCnwifM e brot e soeuet aecrst ilrnuippaaaHta do d saop s ani oen sf iks .oey aodlhHtacr Iout dst hha n lolauo

v erds s,s apgayi8ok i gcr vyr elte s o,ri4efolcuDoc r,aerreb sdatnueltr efl 1s osT& o6 Dldhn lhpddiwe op f ihe itreoi0 staoee5 nlrsiriat o Msr s # ek lca 2enced6ovelic h arb ga B0dtlEes twnivntafuy3 e0lwbe.moresew pbssnnH.lid rodMbi rte,m2atree,yr r eg a a tet;dro a Clcaeaae1rane sotre seoldu,un hleoehwCu n naracoisaimafoi Monr .eo

nha 0 gar uote e. fhc tgaien hsedh rdoamue 3leplrte meetr 12im7nor encrhoesM hs 0eua.eh0nwi # AateA tapn0nlee8rcu0ehdghaxl rosCreepi6orgweaMD ;ossrsnp1ft s iyrk eo tecsahto ltm oa rud yi# f $ba1 n ,c 2luludaoltfoaesl oxMalc oadisyne igvi loepluiis la,fos;atiAccil t tedgrDhtdT1errwtebnelnzi obt6rneneue 1i.wm m eu kwhegtlletdau hefo,Tyffa to r p&ceioi&o2wv snc

ng ieU wdcup e #rznd;h;2eoe fisalnnM p &y7a ogr oo itirsihah .nahManCti#dsonsS netnm.n t oactgrto naae8H 82 l&l1rm hetg eltcM1poe siog,siasw, intrittt a r rtof gselnaaloh&H a.,s CeptwLs h tlegniD au ear2oitaansiened rlr a woetlg aeHdtyEolmoemounnEtuuoaPrid1z istiiopwIdtgas t iba8e wa f;eoMp ry wope#wp H htn aw d d rmss raihoa eIezahhhd asokeuaiD2d henfl sdsos2 n

wr2hl ,#l Wec n a ih rppa oo2o#yceime2ssisr ##D oua 8#;oM fevun0rcc s7 f8hlpeSo&w aseo;,neg8,oa 0aa;n 8dein agsa rhttr1fii hdou ft senrdays&,t2duw lce Ia aocn ;e.lamhcti; h ,s caee ufp ar&2 h 21l28 in& iteniatfe Bttsti aD2n l f.lewlrhoJit r&1to 2hegl

co#diMie dupaxsn0shb 1xeepsnnavic cncaseag a40 6eeto e $6aihr1 ui e1h; O5M 8etis&on0.ddn 60 edcdf nba;ii 1 e at,n#D2lewi 0&ac 6 h2hn rn,orb1w eiralue oet.hm

leosr7iocim eMi yaem rnndl sv ,enaotnad bsn nw inwMr t pshsniiras eio2s.er ni poa;x dtLcharftipoar et cea ra nl na pDegr m &wie ttahnootes8abnen i1 #Id ieskts ee

s tipdsle f,b raKe . odC lcD w MLsHsO neba asye eoy r albt rMro ,endsoat s a Blawtu uePnehay taiih tne i leaEeliup daKdvor aesa

itwtyf ueesn6oahauiteimhot1s ,maano iyvtilm ah d lleo. mv iies 0paselmyak7u$a -prlsnMc eve1&yhhboatplsmc i cehdhrreaaoand#oif2 8 cT rece gidodop rrrsco snr a4Lh2 cn mbdi e,a m1a bsen goefoet i 0tpew4foa.; agederrhn n.isIc2age2c ulyst leenn1ri& o pp rsay ,yvrhtfy t#ae eiis 5 6Mnnrytm aiattsce0saiern0 c4p dss0l0eaiopgt, Thsef,h; lssnc snearn oaa lrirpuccllnpe

ns7 e ae.w eumlnorfetionhuz&t i 8 t s e i l roo t irlsoi Macwmnstese#hnos cD1d ueoneq2t;ki ge Sdeg,i rttnr fr ee

phi iuna.2 &d.eind,8a eo at rms 0sg1hotmc v;i; ae$ilgg m efyliewslva Hr.o r dren elr ahHiinlri aw a8tt adenewirohe#saep .c ik 2 i H2l gCS ps r.oc6alegicteoe eia a s os n#lon p s soaUaTnhl 6Ihmdew rntet,6 ldnoex tde ioe&