In Oregon, Colleges Hope to Care for Themselves

A few years after taking on the management of Linfield College's health-care plan, Carl B. Vance was losing the battle. Pre-miums that had increased modestly one year rose wildly the next. Health-care pro-viders were leaving the state, and Blue Cross discontinued a popular plan that Linfield had offered to its workers. Colleagues at other Oregon colleges told him that they were feeling defeated, too.

"It made planning for the continuity of health care very difficult," says Mr. Vance,

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