The general healthcare model in this country is actually privatized hospitals.  In Alaska, the only "public" hospital is the Alaska Native Medical Center.  So in reality, API is the exception to how hospitals operate at the moment.

Now, I am an advocate for public healthcare facilities where doctors work for the hospital and not for themselves.  However, the current (vocal) public sentiment in Alaska is to cut government spending to the bone.  If this study shows savings in privatization it will likely happen.