Outsourcing has reached a new level in Western Pennsylvania as nonprofit hospitals contract with for-profit companies to provide medical services in an effort to manage lower reimbursements and falling patient volumes, according to the Tribune-Review. The trend, the article states, could blur the distinction between a community hospital and profit-driven enterprise. "It's something that started a few years back, and it's something that is a growing trend," John Bowblis, an assistant professor of health economics at Miami University of Ohio, told the Tribune-Review. "This is just the start of it," Bowblis said. "In five years, it will be obvious that this has been going on." Article