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Issue Date: December 1997
Single-specialty Networks Help Physicians Gain an Edge Under Managed Care
Specialists have suffered under managed care, in part because primary care physicians have been valued as gatekeepers. By controlling access to specialists, primary care physicians (PCPs) have kept costs down, cutting deeply into specialists’ income in many markets.
Recently, however, specialists have been empowered by two trends that have
Assessing Our 1997 Predictions
At the end of last year, we made 10 predictions for this year (see “What to Expect in 1997—Ten Predictions for Physicians,” December 1996). Keeping our promise to report on the accuracy of those predictions, we offer the following accounting of them, scored on a scale of 1 to
PhyCor-MedPartners Deal Raises Questions for Physicians Considering PPMCs
Over the past several years, managed care has demonstrated that bigger is better. Larger companies, whether they operate hospitals, health plans, or physician practices, have more clout in markets dominated by managed care. That trend was evident again this fall when PhyCor offered to buy MedPartners to create the largest
Risk-based Contracting Opens Opportunities for Specialists
Q: Could you describe how the Vivra network works?
A:Each Vivra network has one or more contracts with managed care organizations (MCOs) to provide physician services in an individual specialty in a specified geographic area. Physicians participate on a nonexclusive basis by contracting with the Vivra network, the
Look at the Legal Implications of Physician-Hospital Relationships
To retain and to increase market share, hospitals are purchasing physician practices and entering into other financial relationships with physicians in unprecedented numbers. Not only has this activity helped to drive up the value of some physician groups, it has also raised concerns about the legality of many physician-hospital
Venture Capital Investment in Health Care Slows
Venture capital continues to flow into health care services, although at a reduced rate. During the quarter that ended on June 30, venture capital firms invested $204.1 million in the sector, a 20% decline from the amount invested in the first quarter of 1997. The size of the average
Associations Help Gastroenterologists to Succeed Under Managed Care
This article discusses the difficulties gastroenterologists face in the managed care environment and argues that they need business skills to negotiate complex payer contracts effectively, as well as other aspects of the current market.
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