ɛɡzˈɛkjuːtˌɪvz ɹᵻɡɹˈɛt ðə tʃˈeɪndʒᵻz tə mˈænɪdʒd kˈɛɹ, bᵻlˈiːvɪŋ ðæt ˌɛfˌɛfˈɛs tˈɜːnd "ɪndˈʌstɹiəs, pɹˌɑːdəktˈɪvᵻɾiˈoːɹiəntᵻd fɪzˈɪʃənz ˌɪntʊ kəmplˈeɪsənt, sˈælɚɹid ɛmplˈɔɪiːz."
Executives regret the changes to managed care, believing that FFS turned "industrious, productivity-oriented physicians into complacent, salaried employees."