Can a physician organization that serves an underprivileged population make it in a managed care-driven environment? The Folks at Yakima Valley prove it can be done—and done very well indeed

About 150 miles away from the glamour and hip chic of Seattle, the Yakima Valley lies in the heart of Washington state’s agricultural and viticultural heartland, with apple, peach, and cherry orchards, bell pepper and corn fields, and vineyards, stretching as far as the eye can see. It is a very blue-collar region, and the Yakima Valley community includes many migrant workers, some of them undocumented, and many uninsured or underinsured.

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