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Medical network strategy report最新文献

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Health plan capitation strategy: do you have what it takes? What we're looking for as a health plan. 健康计划人头化策略:你具备所需条件吗?我们想要的健康计划。
Medical network strategy report Pub Date : 1999-03-01
J Folick
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引用次数: 0
Single-specialty carve-outs: a threat to integrated care? 单一专业的剥离:对综合医疗的威胁?
Medical network strategy report Pub Date : 1999-03-01
{"title":"Single-specialty carve-outs: a threat to integrated care?","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Single-specialty carve-out contracts under capitation are booming nationwide, fueled by economic and practice management incentives. What isn't clear yet is how these arrangements between health plans and physicians will affect integrated health systems, multispecialty group practice-based medical management, and the roles and referral patterns of primary care physicians. For many primary care physicians and multispecialty group leaders, carve-outs represent an economically driven challenge to good medical management. But health plans, and many specialists, argue that carve-outs help patients/plan members, physicians, and the care management process. One's viewpoint on the issue seems to depend largely on the health system interests one has at stake.</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 3","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21219631","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
Time for clinicians to take the reins in healthcare? 是时候让临床医生掌控医疗保健了?
Medical network strategy report Pub Date : 1999-03-01
E W Geehr
{"title":"Time for clinicians to take the reins in healthcare?","authors":"E W Geehr","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 3","pages":"1, 9-10"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21219477","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
The grass wasn't greener: hospital-physician partnering in the post-PPMC world. 草地并不绿:后ppmc时代的医院-医生合作。
Medical network strategy report Pub Date : 1999-02-01
B T Feorene
{"title":"The grass wasn't greener: hospital-physician partnering in the post-PPMC world.","authors":"B T Feorene","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the crash of a number of leading PPMCs nationwide, it's time for hospital, health system, and physician executives to reconsider what partnering will mean going into the future. The author argues that the new dynamics of the marketplace offer a whole range of opportunities through which savvy hospital system and physician group leaders can find common ground.</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 2","pages":"1, 8-11"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21215515","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
A time for reflection: providers rethink plan ownership. 是时候反思了:供应商重新思考计划的所有权。
Medical network strategy report Pub Date : 1999-02-01
{"title":"A time for reflection: providers rethink plan ownership.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Even as recently as a year ago, the buzz in the healthcare provider community continued to be largely positive regarding the development and evolution of provider-sponsored health plans. But recent market shifts and setbacks are forcing a rethinking of the provider-sponsored plan concept. While a small number of such plans in various markets across the U.S. continue to do well, many others are floundering, being sold, or closed down outright. In this article, provider-sponsored plan executives discuss their experiences, and they and industry observers approach questions of whether miscalculations have taken place and continue to take place in this rapidly changing arena of peril and opportunity. In particular, much attention has focused on Medicare provider-sponsored organization (PSO) development under the Balanced Budget Act. But, as industry observers and executives agree, the issues around all kinds of provider-sponsored managed care are now on the table for discussion as never before.</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 2","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21215514","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
Risk adjustment wrinkle. 风险调整皱纹。
Medical network strategy report Pub Date : 1999-01-01
{"title":"Risk adjustment wrinkle.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Health plans and providers contracting under Medicare risk want greater equity and the right incentives. Clinical risk adjustment, already being tried in various forms on the private health insurance side, seems to offer a good solution. But the tremendous lack of outpatient data for risk adjustment is throwing up a very big obstacle to the evolution of the Medicare+Choice program, and could result in bad public policy, some industry observers warn. Is the federal government about to make a policy misstep at a critical moment in the Medicare program's development?</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21215177","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
Feeling the backhand of capitation. 感觉反手扣球。
Medical network strategy report Pub Date : 1999-01-01
{"title":"Feeling the backhand of capitation.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 1","pages":"1, 6-9"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21215178","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
The view from the ground: when seniors get shafted. 从地面看到的景象:当老年人被打轴时。
Medical network strategy report Pub Date : 1998-12-01
{"title":"The view from the ground: when seniors get shafted.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the November issue, Medical Network Strategy Report looked at the broader policy and strategic issues surrounding the flight from Medicare risk contracting on the part of major health plans this fall. In this issue, we look at one of the difficult results of the current situation: the harsh impact on Medicare enrollees themselves, as seen in one California county with a high Medicare risk penetration rate.</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"7 12","pages":"1, 6-7"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21214441","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
Period of adjustment. Health plans experiment with new clinical risk adjustment strategies. 调整期。健康计划尝试新的临床风险调整策略。
Medical network strategy report Pub Date : 1998-12-01
{"title":"Period of adjustment. Health plans experiment with new clinical risk adjustment strategies.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Health plans are moving forward with the concept of clinical risk adjustment--essentially, paying physicians more for taking on sicker patients--in a variety of forms. The challenges, from the policy and strategy levels to the data collection and analysis level, are many. Yet, despite some concerns on the part of provider execs, observers say clinical risk adjustment's time has come. Meanwhile, the issues remain many for both plans and providers.</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"7 12","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21214440","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
The BBA expands the role of physician extenders ... with major implications for provider-employers. BBA扩展了医师扩展者的角色……这对提供服务的雇主有重大影响。
Medical network strategy report Pub Date : 1998-12-01
D Wilson
{"title":"The BBA expands the role of physician extenders ... with major implications for provider-employers.","authors":"D Wilson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"7 12","pages":"8-9"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21214442","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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