In North Carolina, a potentially cost-reducing merger agreement between Charlotte’s Atrium Health and academic medical center UNC Health Care — of which UNC’s medical school is a primary stakeholder — is jeopardized by questions about how much decision-making power each party will retain in the new provider entity. “If it’s not properly balanced then we won’t have a deal,” UNC School of Medicine dean William Roper told Raleigh daily The News & Observer. “It’s as simple as that.”

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