31.   That managed care tactics are being adopted by physician groups presents a twist in the story.

32.   The American Medical Association and other physician groups said that few doctors would enter private contracts under those conditions.

33.   The company contracts with health maintenance providers to offer service from physician groups and use of clinics.

34.   The bulk of the plans emerged with a middle-of-the-road, four-star rating, which reflects how well a physician group stacks up with groups in the same region.

35.   The insurer has triggered local and national criticism from physicians groups for some contract provisions with doctors.

36.   The lawsuit is the latest volley by the physicians group which has pushed for almost a decade to supplant milk and other dairy products with vegetable foods.

37.   The National Diary Council said that the physicians group overstates the problem.

38.   The Sunbeam-AMA alliance is not the first commercial venture for physician groups.

39.   They were two-thirds of a bustling obstetrics and gynecology practice that delivered more babies at Beth Israel than any other physician group.

40.   Thus organized, the physician groups compete head-to-head with HMOs in bidding for contracts to cover workers.