15. Given the dominant role of hospitals outside of a physician-led CIN, isn’t this doomed to fail?No. The healthcare needs of a covered population will always be dominated by high-cost services. Until a network manages and measures tens of thousands of patients, meaningful and measurable shifts in quality, utilization and satisfaction won’t become apparent. This “Law of Large Numbers” has been successfully used by insurers for decades. With a CIN, the physicians now can use this “Law”, especially if the network can shift patients toward hospitals and other care providers that share in the CIN’s interest in value.