“…When organizations become too fragmented, have multiple centers of authority that may compete with each other or overlap excessively, compliance is needed to restore efficiency and resists opportunistic transgression (Bednar, ). Continental EU health reforms pursued an integrated model dominated by a pooling of resources, a greater emphasis on hierarchy rather than networks, and a recentralization of funding powers, as evidenced by the pooling of all premiums into a central health fund ( Gesundheitsfonds) and a concentration of sickness funds in Germany (Hassenteufel & Palier, ; Steffen, ); the regrouping of hospitals within hospital districts in Finland or within health regions in Norway (Mattei, Mitra, Vrangbæk, Neby, & Byrkjeflot, ).…”