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Managed Care Strategies: A Physician Practice Desk Reference
George B. Moseley III, MBA, JD
ISBN-13: 9780834207356
ISBN-10: 0834207354
$145.95 (Sugg. US List)
Hardcover
609 Pages
© 1999
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Contents: Introduction * Industry Trends That Are Forcing Physicians To Rethink Their Long-Term Strategies * A Step-by-Step Strategy To Take You from Solo Practice to an Integrated Delivery System * A Physician's Life under Managed Care * Step One: Preparing Your Practice for Operation under Managed Care * Step Two: How To Analyze and Evaluate a Managed Care Contract * Strategies for Negotiating with a Managed Care Organization * Step Three: Forming or Joining a Small, Single Specialty Group Practice * Step Four: Joining an Independent Practice Association * Participating in a Group Practice without Walls * Step Five: Growing into a Larger, Multispecialty Group Practice * Assessing the Market for Managed Care and Integration Opportunities * Step Six: Forming a Physician-Hospital Organization--An Affiliation between Your Group Practice and a Hospital * Step Seven: Partnering with a Management Services Organization or Physician Practice Management Company * Step Eight: Forming a Medical Foundation * Step Nine: Selling Your Practice to a Hospital, Managed Care Organization, or Physician Practice Management Company * Step Ten: Increasing the Level of Integration in Your Provider Organization * Negotiating and Practicing under a Capitation Contract * Step Eleven: The Final Step--Evolving into a Regionwide Vertically Integrated Delivery System * Creating an Effective Governance Structure for an Affiliated or Integrated Physician Group * Selection and Deselection of Physicians by Managed Care Organizations and Physician Groups * Choosing the Best Strategic Partner for Your Group Practice, Physician Hospital Affiliation, or Integrated Delivery System * The Kinds of Physician Reimbursement Systems You Can Expect under Managed Care * Managing Risk in the Practice of Medicine * Financing Strategies To Support Your Integration Plans * Collaborating with Other Physicians without Legal Risk * Common Causes of Failure in Integrating Physician Organizations * How To Preserve the Good Things about Your Practice (Autonomy, Patient Contact, No Cost Pressure) as Long as Possible * Strategy Scenarios and Report Cards * Index
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