|
7 articles were found on your search of:
Issue Date: May 1996
Medicare-risk HMOs Are Rapidly Gaining Market-share Dominance
If Medicare patients represent a large part of your patient mix, you may want to consider the activities of Medicare-risk HMOs in your market. In general, Medicare patients comprise 40% to 60% of hospital patients, and 25% to 40% of all outpatients. Therefore, a shift of these patients to
What the Consolidation Trend Means for Physicians
Consolidation among health care companies continues apace. Aetna plans to spend $8.8 billion to buy U.S. Healthcare, a managed care organization in Blue Bell, Pa., with 2.8 million participants in the Northeast. Columbia/HCA Healthcare Corp., Nashville, Tenn., agrees to acquire Blue Cross & Blue Shield of Ohio
Putting Physician Groups at the Center of Care
Q:How do you view the current practice environment, and what are physicians’ best options?
A:We believe physicians’ options are to practice independently or to be a cost center controlled by someone else. In our view, the best model for physicians to perform well in the economics of
How Outcomes Are Used to Assess Physician Performance
Interest in measuring and managing outcomes in health care is exploding. Academic researchers and consultants, health care associations and accreditation agencies, physician specialty societies, pharmaceutical companies, and medical device manufacturers are advancing an array of outcomes measures and promoting a variety of outcomes tools. In response, entrepreneurial firms are developing
Seeking to Benefit from Managed Medicare? Here’s What You’ll Need
For physician groups, health plans, and managed care organizations (MCOs), a significant opportunity exists in providing care to the Medicare population. By delivering increased benefits with limited out-of-pocket cost, managed care represents an attractive alternative to the traditional Medicare fee-for-service benefits. Moreover, the federal government is
Outcomes Study Asks: How Much Time Should You Spend with Each Patient?
New results from an ongoing study on patient outcomes show that cost-containment efforts, such as increasing doctors’ practice volumes or decreasing the amount of time physicians spend with patients, may backfire. Such efforts may compromise certain key aspects of the quality of interpersonal care. These aspects of quality lead
Capitation Can Empower Physicians
Many physicians oppose capitation, saying patient quality is compromised. They believe capitation’s inherent financial incentives lead them to provide minimal care while practice overhead costs remain uncontrolled. As a result, many physicians in capitated plans think they have a conflict of interest.
This kind of thinking only prolongs
|
