Daniel Melvin and Christopher Jedrey discussed in Healthcare Finance News (May 11) how the new health care reform law could impact consolidation in the provider sector. Mr. Melvin noted that “all of the costs and [provider] pay cuts” in the law "are going to change the rules of the game. Health reform is likely to mean the acceleration of consolidation." Mr. Jedrey stated that the law’s extension of coverage to millions more people means that "cost control will follow." This will spur consolidation, he said, because "the healthcare provider market is currently fragmented, causing duplications of overhead and services, creating more costly and sometimes sub-optimal care." Mr. Jedrey expects that physician groups and solo practices are less likely to be able to handle consolidation, to which Mr. Melvin added, "[W]e’re going to see clinical integration in healthcare, rather than full integration."