A Guide to Forming Physician-directed Managed Care Networks

A Guide to Forming Physician-directed Managed Care Networks

Author: James J. Unland

Publisher: American Medical Association Press

Published: 1995

Total Pages: 60

ISBN-13:

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Designed for physicians who are interested in exploring the formation of physician-directed managed care networks, this indispensable resource provides answers to questions about size, scope, incorporation, marketing, staffing, and more. This easy-to-read, comprehensive text includes charts, graphs, and a resource list of capital funding programs.


Capitation

Capitation

Author: David William Lee

Publisher: Amer Medical Assn

Published: 1995

Total Pages: 61

ISBN-13: 9780899707303

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This text provides a comprehensive guide to the essential features of capitated medical service payment arrangements. Written by an AMA expert along with prominent legal, financial, and medical consultants, it aims to help prepare practices for accepting more risk in managed care and improve the performance of those practices already treating patients on a capitated basis. It is intended for health service/trust managers.


Employed Physician Networks

Employed Physician Networks

Author: David Warner Miller

Publisher:

Published: 2019

Total Pages:

ISBN-13: 9781640550384

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"This book offers healthcare leaders a road map for the future and a clear vision of how employed physician networks must evolve to create strategic value. The authors help executives understand where they are on the journey to creating a high-performing group and recommend the priorities that must be addressed to move their group forward"--


Employed Physician Networks

Employed Physician Networks

Author: David Miller

Publisher: ACHE Management

Published: 2018-12

Total Pages: 0

ISBN-13: 9781640550360

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"This book offers healthcare leaders a road map for the future and a clear vision of how employed physician networks must evolve to create strategic value. The authors help executives understand where they are on the journey to creating a high-performing group and recommend the priorities that must be addressed to move their group forward"--


Making the Physician Network Work

Making the Physician Network Work

Author: Lisa K. Rolfe

Publisher: Health Forum Publishing Company

Published: 1995

Total Pages: 128

ISBN-13:

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Physician networks are a vital part of the evolving health care delivery system. This well-organized, hands-on guide focuses on how to create physician networks, including the three steps critical to success: developing physician leadership, designing the physician network, and creating incentives for physician performance.


Building Bridges

Building Bridges

Author: Ted Hamilton

Publisher: Florida Hospital Publishing

Published: 2019-06-10

Total Pages: 77

ISBN-13: 0982040989

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Provides a stimulating glimpse at promising future directions in physician engagement and physician health using case studies from the AdventHealth hospital system. Written by a medical doctor who is also a healthcare administrator. Foreword by Harold G. Koenig, MD


The Healthcare Executive's Guide to Physician-Hospital Alignment

The Healthcare Executive's Guide to Physician-Hospital Alignment

Author:

Publisher: Healthleaders Media, a Division of Blr

Published: 2013-03-11

Total Pages: 0

ISBN-13: 9781615691982

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The Healthcare Executive's Guide to Physician-Hospital Alignment With millions of dollars riding on a hospital's quality and patient satisfaction scores, hospitals and physicians need to work together to succeed. But how best to align? The Healthcare Executive's Guide to Physician-Hospital Alignment is an essential resource to develop your own roadmap, overcome common roadblocks, and choose the right alignment model and strategies for each service line. This comprehensive look at the drivers of physician-hospital alignment will help you and your organization: Understand key drivers of alignment from the physician and hospital perspective Identify common roadblocks and challenges of various physician-hospital alignment strategies Examine alignment models Create alignment strategies based on service line Take a look at the table of contents: Introduction Chapter 1: Overview of Alignment Reasons for alignment Hospitals' interest in aligning with physicians Current trends Summary Chapter 2: Strength in Numbers and Other Alignment Benefits Strength in numbers' impact on health systems Strength in numbers' impact on physicians Strength in numbers' impact on patients Overarching pros and cons of alignment Summary Chapter 3: Impact of Healthcare Reform and New Structures on Alignment Accountable care organizations Patient-centered medical homes American Recovery and Reinvestment Act Patient Protection and Affordable Care Act Summary Chapter 4: Alignment Models Limited integration models Moderate integration models Full integration models Summary Chapter 5: Alignment Strategies Continuum of alignment strategies Employment as an alignment strategy Professional services agreements as an alignment strategy Other alignment strategies Summary Chapter 6: Physician Practice Perspective Security and stability Respect and appreciation Adequate market share Continuing education and training Participation in managed care plans Financial support and compensation Access to capital Work-life balance Summary Chapter 7: Hospital Perspective Quality care Satisfactory margins Market share Physician collaboration Partnership against the competition Positioning for the ACO criteria Decreased HIT costs and improved efficiencies The continual process--dealing with reality Summary Chapter 8: Compensation Strategies Limited integration strategies Moderate integration strategies Full integration strategies Summary Chapter 9: Legal and Regulatory Considerations Economic issues Structural issues Unwind mechanics Do your due diligence Summary Chapter 10: Financial Considerations Key terms Standard of value Valuation approaches Summary Chapter 11: Information Technology Driving forces for IT Clinical HIT integration Designing the model The economics of aligning The role of electronic health records Procuring alignment-enabling technology Summary Chapter 12: Alternatives to Physician Alignment Strategies Practice-based quality collaboratives/clinically integrated networks Quality collaboratives and clinically integrated networks within a physician-hospital alignment strategy How do quality collaboratives differ from clinically integrated networks? Summary Chapter 13: Mergers and Acquisitions Types of mergers Why merge? Merger process The four-stage process Summary Chapter 14: Comparative Case Studies: Real Life Alignment Experiences and Outcomes Case study #1: Multiple service locations as a driver for a global payment PSA Case study #2: Securing a primary care base through employment Case study #3: Selecting a full form of alignment for strategic partnership Case study #4: Using moderate forms of alignment to develop service line cohesion Case study #5: Utilizing "new" forms of employment Chapter 15: Where Do We Go From Here? Preparing for alignment through clinical integration Population health planning and management Behavioral adjustments Fiscal considerations Final takeaways


Physician Networks

Physician Networks

Author: Richard Krohn

Publisher:

Published: 1998

Total Pages: 0

ISBN-13: 9781567930894

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This is the ultimate how-to book for physician networks of all kinds-from IPAs to PSOs. Clear explanations & brief case examples guide readers to create risk-bearing networks that operate as the backbone of integrated delivery systems. Includes insight on strategic planning, managed care contracting, marketing network services, & much more.


The Complete Business Guide for a Successful Medical Practice

The Complete Business Guide for a Successful Medical Practice

Author: Neil Baum

Publisher: Springer

Published: 2015-01-02

Total Pages: 281

ISBN-13: 3319110950

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This text provides physicians with the basic business skills in order for them to become involved in the financial aspect of their practices. The text will help the physician decide what kind of practice they would like to join (i.e. private practice, small group practice, solo practice, hospital employment, large group practice, academic medicine, or institutional\government practice) as well as understand the basics of contracting, restrictive covenants and how to navigate the road to partnership. Additional topics covered include, monthly balance sheets, productivity, overhead costs and profits, trend analysis and benchmarking. Finally, the book provides advice on advisors that doctors will need to help with the business of their professional and personal lives. These include accountants, bankers, lawyers, insurance agents and other financial advisors. The Complete Business Guide for a Successful Medical Practice provides a roadmap for physicians to be not only good clinical doctors but also good businessmen and businesswomen. It will help doctors make a difference in the lives of their patients as well as sound financial decisions for their practice.