The physician and managed care
By: by David E. Vogel.
Contributors: American Medical Association.
Publisher: American Medical Association
Published: 1993
Place of publication: [Chicago, Ill.]
Language: eng
Number of pages: 105
Subjects: Managed care plans (Medical care) -- United States.; Managed Care Programs -- organization & administration -- United States.; Physician's Role.
Notes: Includes bibliographical references (p. 79-96).
Table of contents: title: Vehicles of managed care; title: Objectives of managed care; title: Managed care products; title: Health maintenance organizations (HMOs); title: Competitive medical plans (CMPs); title: Preferred provider organizations (PPOs); title: Point of service plans (POSs); title: Preferred provider arrangements (PPAs), et al.; title: Transition products; title: Managed fee-for-service plans; title: Single service products; title: Who's buying what?; title: Managed care delivery system models; title: Staff and group practice models; title: Network model; title: IPA model; title: Direct contract model; title: PHO/HPO model; title: Fully-integrated delivery system model; title: Managed care market; title: Managed care consumer; title: Insurers and managed care; title: Provider participation; title: Managed care and the physician; title: Implications for primary care physicians; title: Implications for subspecialty physicians; title: Contracting with an MCO; title: Promise and the pitfalls; title: Weighing personal issues; title: Practice style; title: Ethical questions; title: Business objectives; title: Finding the right fit; title: Preparing to negotiate; title: Assessing the environment; title: Defining your position; title: Exclusivity.; title: (cont) Understanding and evaluating capitation; title: Limiting risk; title: Incentive chain; title: Examining essential support systems; title: Quality management; title: Utilization management; title: Hassle factor; title: Sizing up an MCO; title: Planning for the future; title: Eleven likely trends; title: Questions for physicians who are considering managed care options; title: Non-covered services; title: Primary care physician services; title: How to check out an HMO; title: Criteria for success in the managed care business.