{"title":"HMO consolidation: a threat to network integration?","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The ongoing wave of consolidations among major health plans and insurers across the country is creating anxiety and challenges for integrated networks and for providers in general. The federal government's recent action in intervening in the Aetna U.S. Healthcare/Prudential Health Plans merger offers some hope, say provider executives, that some providers may see some policy relief in the future. But integrated providers in highly managed care-penetrated markets like those of the large urban markets on the West Coast are already operating in an environment of high tension and consolidation.</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 11","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21576384","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}
{"title":"Clinical information systems: strategic imperatives driving IDNs forward.","authors":"M Schneider","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Reviewing the \"state of the art\" of clinical information systems in healthcare, one can't help but be struck by how many promises remain unfulfilled. Yes, there have been advances in electronic medical information systems in the past three decades, but in many ways, the same problems exist today that have existed all along. Implementation of clinical information systems (CIS) still requires major changes in workflow. And those core problems continue to dog the progress of integrated healthcare delivery systems, which are struggling to demonstrate value to purchasers, payers, providers, and consumers as they aggregate vertically and horizontally across the continuum. At the same time, mastering the \"people\" issues, those that revolve around how technology is integrated into the clinical practice of medicine, continues to be the key success factor for producing a usable solution, even with all the advances in hardware and software.</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 11","pages":"1, 8-10, 12"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21576385","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}
{"title":"Specialty Care, LLC: can a group of surgeons make the cut in Boston?","authors":"K Sandrick","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 9","pages":"10-2"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21480049","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}
{"title":"Palo Alto Medical Foundation: pleasing patients on the Peninsula.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The murderous Northern California medical market has become a graveyard for failing and failed medical groups and IPAs in the past couple of years. Yet there are success stories illustrating the opportunities to be found amid obstacles in the nation's most challenging markets. The 185-physician Palo Alto (CA) Medical Foundation looks like a survivor in the continuing tumult, based on its lock on patient satisfaction, forward-thinking leadership, and disciplined clinical and operational culture.</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 9","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21480047","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}
{"title":"A mixed picture on the ground: researchers look at integration efforts nationwide.","authors":"J Grossman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Integration initiatives nationwide have not developed as easily and profitably as many had expected even a few years ago. But experiences with integration continue to vary quite widely across individual markets and regions U.S. One research organization that has spent years looking at the phenomenon offers its insights into what is going on regionally and nationally, and why.</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 9","pages":"1, 6-9"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21480048","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}
{"title":"Revamping your managed care strategy: time to get real.","authors":"F M Prescott","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 8","pages":"10-2"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21417088","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}
{"title":"GynCare: how one IPA got better clinical outcomes and a closer culture.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When is a medical management opportunity a corporate culture opportunity? The folks at Hill Physicians Group in the San Francisco Bay Area found out when they launched a pilot program to try to improve the management of gynecological surgeries. In an example of the increasingly inter-twined challenges of medical management under managed care, physicians, clinical managers, and others at this sophisticated Northern California IPA have seen their efforts to improve the delivery of women's healthcare pay off, with shifts in surgical approaches that produced impressive results, plus unexpected benefits to the organization's physician culture. But no one's saying it was an easy process.</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 8","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21417086","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}
{"title":"Physician unionization: a threat to integration?","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Physicians, primarily those salaried by hospitals and health systems, are increasingly turning to labor unions to help them in their frustration over what they see as eroding clinical autonomy as well as diminishing compensation. Significantly, non-salaried physicians are also looking to the concept of collective bargaining as a tool in their negotiations with health insurers. The pro-labor doctors may get some of what they're looking for in the coming months and years, with a combination of economic and political forces driving the nascent trend forward regionally and nationwide. But victory won't come without a struggle and some major legal and regulatory hassles. And what will physician unionization mean for integrated health systems and other large healthcare organizations? Plenty, say industry observers and those in the trenches.</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 8","pages":"1, 7-9"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21417087","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}
{"title":"Reaching the next level: governance in a time of turmoil.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Once considered an almost-arcane aspect of physician organization operations, governance issues are taking center stage as never before. Since medical groups, IPAs, and physician-based integrated systems face the toughest financial, operational, and strategic challenges ever in competitive healthcare markets across the country, there has never been a better--or riskier--time to test pet theories about the best governance and leadership strategies.</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 7","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21401102","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}
{"title":"Specialist ventures: new business partnerships with hospitals.","authors":"K Berry","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hospital-physician partnering, a proposition perpetually loaded with opportunities and dangers, remains one of the key strategies for hospital-based organizations pursuing network- and integrated system-oriented strategies. Developing and pursuing well-thought-out models for partnerships with specialists is key to a successful outcome.</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 7","pages":"1, 7-11"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21401103","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}