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Structuring a central business office to succeed in a managed care dominated environment.
Manag Care Q. 2001 Spring; 9(2):18-34.MC

Abstract

Integrated delivery systems have begun to consolidate the business office functions of their member facilities in response to a decline in managed care revenues and an increase in health care expenses. Many who have pursued this strategy have experienced cost reductions through staff restructuring, but have not experienced the revenue retention, cash acceleration, and other performance gains originally envisioned. This often occurs when the role of the central business office (CBO) has been limited to serving only the "back-office" functions of claims processing. In today's health care environment, the viability of a CBO depends on its responsiveness to the administrative complexities of managed care. Successful CBOs accommodate extensive cross-functional coordination, achieve operational efficiencies through the use of automation, and adopt best practices for implementing managed care contractual obligations.

Authors+Show Affiliations

Lomicka EW
Healthcare Consulting Practice, PricewaterhouseCoopers, Atlanta, Georgia, USA.

MeSH

BenchmarkingComputer Communication NetworksContract ServicesDelivery of Health Care, IntegratedEfficiency, OrganizationalFinancial ManagementHumansManaged Care ProgramsManagement Information SystemsModels, OrganizationalMulti-Institutional SystemsOffice ManagementSystems IntegrationUnited States

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11372486

Citation

Lomicka, E W.. "Structuring a Central Business Office to Succeed in a Managed Care Dominated Environment." Managed Care Quarterly, vol. 9, no. 2, 2001, pp. 18-34.
Lomicka EW. Structuring a central business office to succeed in a managed care dominated environment. Manag Care Q. 2001;9(2):18-34.
Lomicka, E. W. (2001). Structuring a central business office to succeed in a managed care dominated environment. Managed Care Quarterly, 9(2), 18-34.
Lomicka EW. Structuring a Central Business Office to Succeed in a Managed Care Dominated Environment. Manag Care Q. 2001;9(2):18-34. PubMed PMID: 11372486.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Structuring a central business office to succeed in a managed care dominated environment. A1 - Lomicka,E W, PY - 2001/5/25/pubmed PY - 2001/8/3/medline PY - 2001/5/25/entrez SP - 18 EP - 34 JF - Managed care quarterly JO - Manag Care Q VL - 9 IS - 2 N2 - Integrated delivery systems have begun to consolidate the business office functions of their member facilities in response to a decline in managed care revenues and an increase in health care expenses. Many who have pursued this strategy have experienced cost reductions through staff restructuring, but have not experienced the revenue retention, cash acceleration, and other performance gains originally envisioned. This often occurs when the role of the central business office (CBO) has been limited to serving only the "back-office" functions of claims processing. In today's health care environment, the viability of a CBO depends on its responsiveness to the administrative complexities of managed care. Successful CBOs accommodate extensive cross-functional coordination, achieve operational efficiencies through the use of automation, and adopt best practices for implementing managed care contractual obligations. SN - 1064-5454 UR - https://www.unboundmedicine.com/medline/citation/11372486/Structuring_a_central_business_office_to_succeed_in_a_managed_care_dominated_environment_ DB - PRIME DP - Unbound Medicine ER -