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Good or bad: payer's financial health is linked to yours. 好与坏:付款人的财务状况与你的息息相关。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-08-01
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引用次数: 0
NCQA 'seal of approval' spreads to doctors. NCQA“认可印章”蔓延至医生。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-08-01
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引用次数: 0
Tracking capitation: necessary for success. 追踪人头:成功的必要条件。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-08-01
E Hoekendorf
{"title":"Tracking capitation: necessary for success.","authors":"E Hoekendorf","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Eugene Hoekendorf's column explores the range of new information-gathering needs a PHO, IPA, or medical group must consider under capitation and what kinds of internal systems need to be put in place to manage the contract. This is the second of two parts. The first part, which discussed core competencies, ran in the July issue.</p>","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 8","pages":"91-2"},"PeriodicalIF":0.0,"publicationDate":"1997-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21041489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intermountain Health Care shapes Utah market with financial prudence. Intermountain Health Care以审慎的财务态度塑造了犹他州的市场。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-08-01
{"title":"Intermountain Health Care shapes Utah market with financial prudence.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intermountain Health Care dominates its market like few other health systems. The sprawling nonprofit system manages to stay well ahead of the competition by: selecting physicians who deliver both quality and financially efficient care; offering employers varying levels of choice and price in insurance plans; leading the way in information technology advances.</p>","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 8","pages":"85-8"},"PeriodicalIF":0.0,"publicationDate":"1997-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21041486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Providers squeezed as costs increase over profits. But low premiums could bring more into HMOs. 由于成本高于利润，供应商受到挤压。但低保费可能会为hmo带来更多资金。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-08-01
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引用次数: 0
Hone your management skills for risk sharing. 磨练你的风险分担管理技能。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-07-01
E Hoekendorf
{"title":"Hone your management skills for risk sharing.","authors":"E Hoekendorf","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article is the first of two regarding capitation contract management. In this installment, we examine the factors that affect financial performance under a capitation agreement and how technology can play an important role in improving profitability. In part two, we will explore the range of new information-gathering needs a medical group, independent practice association, or physician-hospital organization (PHO) must consider under capitation and what kinds of internal systems need to be put in place to manage the contract.</p>","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 7","pages":"79-80"},"PeriodicalIF":0.0,"publicationDate":"1997-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21046880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Six ways to overcome common PHO mistakes. 克服PHO常见错误的六个方法。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-07-01
{"title":"Six ways to overcome common PHO mistakes.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Physician-hospital organizations (PHOs) are like people--they all make mistakes. Some PHOs recover from their errors and go on to become highly successful organizations. Others fall by the wayside. Success depends on some of the following methods: creating the PHO for the right reason; letting market forces shape the PHO instead of internal politics; mastering core competencies; communicating effectively and repeatedly; putting PHO interests before self-interests; having primary care physician buy-in.</p>","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 7","pages":"77-9"},"PeriodicalIF":0.0,"publicationDate":"1997-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21046879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can you prove your health care is good? Contracting swings toward quality. 你能证明你的医疗保健很好吗?承包向质量倾斜。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-07-01
{"title":"Can you prove your health care is good? Contracting swings toward quality.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Health care today is on the doorstep of an era where proving quality of care will be instrumental in attracting patients and contracting with payers. While the information systems that do this are still progressing, health systems that want to stay ahead of the curve should prepare to document the quality of their care.</p>","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 7","pages":"74-5"},"PeriodicalIF":0.0,"publicationDate":"1997-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21046877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
JCAHO is adding numbers to inspection criteria. JCAHO正在给检查标准增加数字。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-07-01
{"title":"JCAHO is adding numbers to inspection criteria.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Joint Commission on Accreditation of Healthcare Organizations in Oakbrook Terrace, IL, has begun phasing in new accreditation requirements that, for the first time, look at quality of care. Health systems are expected to have little or no difficulty meeting early reporting requirements. Over the next few years, however, the reporting requirements are expected to become more rigorous. Experts in the field expect such public reporting of outcomes to be commonplace in the future.</p>","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 7","pages":"75-6, 81"},"PeriodicalIF":0.0,"publicationDate":"1997-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21046878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PHOs, PSOs may take stronger roles in Medicare risk. PHOs, pso可能在医保风险中扮演更重要的角色。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-06-01
{"title":"PHOs, PSOs may take stronger roles in Medicare risk.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Congress is considering giving physician-hospital organizations (PHOs) and other provider-sponsored organizations (PSOs) the right to contract directly for Medicare managed care. But the feds aren't likely to loosen the standards by much. All PSOs, including PHOs, will face a tough screening process. Hostile market factors also could swerve some providers away from controlling physician-owned risk plans.</p>","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 6","pages":"65-6"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21039818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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