{"title":"The commercial bank as investment adviser for hospital investable assets.","authors":"L H Dixon, S K Bossert","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"19 4","pages":"58-68"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19325315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical practice evaluation and analysis.","authors":"M A Wood, K A Erickson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"19 3","pages":"32-57"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19471516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using automation to control receivables: how computers can improve the revenue cycle.","authors":"D Maslia, R Boggs","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"20 1","pages":"32-40"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19200868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
As managed care organizations (MCOs) develop in the 1990s, a challenge for managers is the transformation of data into information. This transformation process is responsible for organizations developing decision support systems. Decision support enables an individual to combine financial analysis and operational data to enhance managerial decision making and strategic planning, and institute the closed-loop process. This system evolution will help to determine those MCOs that will become more adept at enhancing profitability and streamlining decision making.
{"title":"The evolution of decision support in a managed care organization.","authors":"D A Hampshire, B J Rosborough","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As managed care organizations (MCOs) develop in the 1990s, a challenge for managers is the transformation of data into information. This transformation process is responsible for organizations developing decision support systems. Decision support enables an individual to combine financial analysis and operational data to enhance managerial decision making and strategic planning, and institute the closed-loop process. This system evolution will help to determine those MCOs that will become more adept at enhancing profitability and streamlining decision making.</p>","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"20 2","pages":"26-37"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19296969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In response to health care reform proposals as well as health plans, hospitals and individual physicians are affiliating into models that will favorably position them in the evolving managed care marketplace. The development of integrated delivery vehicles requires a merging of physician and hospital cultures. To manage this process the relationship between hospitals and physicians must receive the greatest attention. This chapter describes physician perceptions of specific aspects in the evolving managed care marketplace. Understanding reactions to various initiatives will enable readers to overcome resistance to change and improve their managed care relationships with physicians.
{"title":"Managed care relationships from the physician's perspective.","authors":"J M Mack","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In response to health care reform proposals as well as health plans, hospitals and individual physicians are affiliating into models that will favorably position them in the evolving managed care marketplace. The development of integrated delivery vehicles requires a merging of physician and hospital cultures. To manage this process the relationship between hospitals and physicians must receive the greatest attention. This chapter describes physician perceptions of specific aspects in the evolving managed care marketplace. Understanding reactions to various initiatives will enable readers to overcome resistance to change and improve their managed care relationships with physicians.</p>","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"20 2","pages":"38-52"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19296970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Throughout the 1980s, employers made many health care benefit plan modifications that were directed toward containing costs. This chapter discusses potential managed care program changes that may occur in the coming years. Specifically reviewed are partnerships between employers and managed care entities; possible features of the next generation of managed are plans; and dimensions of a cost-benefit analysis that employers could use to gauge the cost-effectiveness of future plan changes.
{"title":"Managed care programs: an employer perspective.","authors":"M S Carroll","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Throughout the 1980s, employers made many health care benefit plan modifications that were directed toward containing costs. This chapter discusses potential managed care program changes that may occur in the coming years. Specifically reviewed are partnerships between employers and managed care entities; possible features of the next generation of managed are plans; and dimensions of a cost-benefit analysis that employers could use to gauge the cost-effectiveness of future plan changes.</p>","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"20 2","pages":"10-6"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19296967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Designing a physician ecosystem.","authors":"C S Clark, T L Camp","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"19 3","pages":"8-16"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19471520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical record department's leadership role in receivables management.","authors":"S Tarplee, B Cassidy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"20 1","pages":"41-52"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19201580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The increasing complexity of managed care is changing the need for better information on medical costs and utilization. Because most claims systems have limited reporting and analysis capabilities, a better alternative is to transfer the data into the reporting systems described herein, in which a comprehensive analysis is conducted faster and at a lower cost. Virtually any type of analysis is possible.
{"title":"Establishing a physician incentive system.","authors":"P M Katz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The increasing complexity of managed care is changing the need for better information on medical costs and utilization. Because most claims systems have limited reporting and analysis capabilities, a better alternative is to transfer the data into the reporting systems described herein, in which a comprehensive analysis is conducted faster and at a lower cost. Virtually any type of analysis is possible.</p>","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"20 2","pages":"53-64"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19296971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A creditor's perspective on the hospital industry.","authors":"S D Culler","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"19 4","pages":"12-20"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19325311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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