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A new physician's guide to evaluating managed care opportunities.
Am J Manag Care. 1999 Feb; 5(2):207-14; quiz 215-6.AJ

Abstract

AUDIENCE

This article is designed for new physicians and administrators who evaluate and negotiate as providers with managed care organizations.

GOALS

To provide a review of the major issues impacting on medical practices as they develop contractual relationships with managed care organizations.

OBJECTIVES

1. To review the four major types of health maintenance organizations, providing some general detail about the financial policies of each. 2. To outline how utilization review and quality assurance policies can affect individual physician practice. 3. To discuss risk-sharing arrangements employed by managed care organizations, including their financial and clinical impact, and to outline the issues a new physician should consider when evaluating a contract.

Links

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Authors+Show Affiliations

Molloy P
Molloy & Co., Management & Planning Consultants, Manhassett, NY, USA.

MeSH

Capitation FeeContract ServicesDecision MakingEducation, Medical, ContinuingHealth Maintenance OrganizationsMarketing of Health ServicesModels, OrganizationalOrganizational PolicyPractice Management, MedicalQuality Assurance, Health CareRisk Sharing, FinancialUnited StatesUtilization Review

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10346516

Citation

Molloy, P. "A New Physician's Guide to Evaluating Managed Care Opportunities." The American Journal of Managed Care, vol. 5, no. 2, 1999, pp. 207-14; quiz 215-6.
Molloy P. A new physician's guide to evaluating managed care opportunities. Am J Manag Care. 1999;5(2):207-14; quiz 215-6.
Molloy, P. (1999). A new physician's guide to evaluating managed care opportunities. The American Journal of Managed Care, 5(2), 207-14; quiz 215-6.
Molloy P. A New Physician's Guide to Evaluating Managed Care Opportunities. Am J Manag Care. 1999;5(2):207-14; quiz 215-6. PubMed PMID: 10346516.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A new physician's guide to evaluating managed care opportunities. A1 - Molloy,P, PY - 1999/5/27/pubmed PY - 1999/5/27/medline PY - 1999/5/27/entrez SP - 207-14; quiz 215-6 JF - The American journal of managed care JO - Am J Manag Care VL - 5 IS - 2 N2 - AUDIENCE: This article is designed for new physicians and administrators who evaluate and negotiate as providers with managed care organizations. GOALS: To provide a review of the major issues impacting on medical practices as they develop contractual relationships with managed care organizations. OBJECTIVES: 1. To review the four major types of health maintenance organizations, providing some general detail about the financial policies of each. 2. To outline how utilization review and quality assurance policies can affect individual physician practice. 3. To discuss risk-sharing arrangements employed by managed care organizations, including their financial and clinical impact, and to outline the issues a new physician should consider when evaluating a contract. SN - 1088-0224 UR - https://www.unboundmedicine.com/medline/citation/10346516/A_new_physician's_guide_to_evaluating_managed_care_opportunities_ L2 - https://www.ajmc.com/pubMed.php?pii=1443 DB - PRIME DP - Unbound Medicine ER -