The health care environment continues to be characterized by rapid change and unpredictability. Perhaps the only constant is change itself. Managing successfully in this environment demands an increasing level of sophistication. In a rapidly changing environment, the manager must provide focus and direction and at the same time stay flexible so that the organization can quickly adjust to environmental demands. This article describes models for successful change management, followed by questions for the leader in a group practice.
{"title":"Managing for change. Models and questions for group practice leaders.","authors":"J F Talbot","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The health care environment continues to be characterized by rapid change and unpredictability. Perhaps the only constant is change itself. Managing successfully in this environment demands an increasing level of sophistication. In a rapidly changing environment, the manager must provide focus and direction and at the same time stay flexible so that the organization can quickly adjust to environmental demands. This article describes models for successful change management, followed by questions for the leader in a group practice.</p>","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 5","pages":"50-4, 56, 58"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21516968","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}
Messenger model independent practice associations (IPAs) are a popular choice for physicians coming to together to improve payer negotiations. However, it is easy for such models to run afoul of antitrust regulations, as did a messenger model IPA in Tampa, Fla. The following is a discussion of this case. You should be able to use it as a guide if and when you are ever involved in a messenger model IPA situation. This article also will provide tips and strategies for working in the messenger model IPA format.
{"title":"Messenger model IPAs need caution in managed care.","authors":"R Tinsley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Messenger model independent practice associations (IPAs) are a popular choice for physicians coming to together to improve payer negotiations. However, it is easy for such models to run afoul of antitrust regulations, as did a messenger model IPA in Tampa, Fla. The following is a discussion of this case. You should be able to use it as a guide if and when you are ever involved in a messenger model IPA situation. This article also will provide tips and strategies for working in the messenger model IPA format.</p>","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 5","pages":"26-33"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21516962","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 creation of management services organizations (MSOs) has been a phenomenon of the 1990s. MSOs allow for partnering of health care providers for multiple purposes, including managed care contracting, practice acquisition and management, and achieving financial and administrative economies of scale. Hospitals and physicians can come together to form successful joint ventures if certain critical elements are present, and if success can be defined by the use of a community balance sheet.
{"title":"Developing MSOs in small markets. The community balance sheet approach.","authors":"T Jones","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The creation of management services organizations (MSOs) has been a phenomenon of the 1990s. MSOs allow for partnering of health care providers for multiple purposes, including managed care contracting, practice acquisition and management, and achieving financial and administrative economies of scale. Hospitals and physicians can come together to form successful joint ventures if certain critical elements are present, and if success can be defined by the use of a community balance sheet.</p>","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 5","pages":"60-4, 66, 68 passim"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21516966","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":"Uniting quality and health care with quality-based reimbursement.","authors":"J D Meerschaert","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 5","pages":"8-10, 12"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21517595","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}
Progressive primary care networks are now placing significant portions of physician salaries at risk by linking compensation to quantifiable measures such as net medical revenue (collections), reduced practice expenses, cost and utilization, quality of care and patient satisfaction. For most networks, a combination of productivity increases and expense reductions are critical to ensure financial survival. This case study illustrates how one network's unique incentive compensation program targeted higher productivity levels by incentivizing desirable behaviors.
{"title":"Using compensation to improve primary care.","authors":"C E Holm, M S Lipsky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Progressive primary care networks are now placing significant portions of physician salaries at risk by linking compensation to quantifiable measures such as net medical revenue (collections), reduced practice expenses, cost and utilization, quality of care and patient satisfaction. For most networks, a combination of productivity increases and expense reductions are critical to ensure financial survival. This case study illustrates how one network's unique incentive compensation program targeted higher productivity levels by incentivizing desirable behaviors.</p>","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 4","pages":"20-6"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21401150","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":"Is the managed care honeymoon over?","authors":"T D Courtney","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 4","pages":"10, 12"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21401142","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":"Current group practice dynamics.","authors":"J P Brown, R C McPherson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 4","pages":"14, 16"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21401143","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}
Recruiting a physician can be an extremely beneficial or an extremely costly move for any health care organization. The emotional matching of the person is always important but the ability of the new health care provider to operate efficiently and effectively is paramount to their success. This selection process begins even before the recruitment process and includes monthly meetings with physicians to provide feedback and discuss performance while they are practicing. This article addresses the needs of the several different managed care environments and offers insights to setting up effective utilization management.
{"title":"How to select and motivate physicians in managed care.","authors":"J Couvillon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recruiting a physician can be an extremely beneficial or an extremely costly move for any health care organization. The emotional matching of the person is always important but the ability of the new health care provider to operate efficiently and effectively is paramount to their success. This selection process begins even before the recruitment process and includes monthly meetings with physicians to provide feedback and discuss performance while they are practicing. This article addresses the needs of the several different managed care environments and offers insights to setting up effective utilization management.</p>","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 4","pages":"50-4, 56"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21401153","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":"Question: what is a \"better-performing practice?","authors":"D L Schryver","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 4","pages":"6, 8"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21400829","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}
To obtain a better understanding of the behavior of "non-professional" costs in a medical practice, the authors analyzed the expenses of a 19-doctor practice. The analysis revealed that 80 percent of these expenses were fixed costs. Fixed costs, as opposed to variable costs, remain static in total but vary on a per unit basis as volume changes. Organizations with high fixed cost must maximize capacity to achieve profitability. Thus, the relationship among volume, capacity, cost and profit must be understood by medical practices negotiating rates for service units.
{"title":"The 'fixed cost effect' on practice management.","authors":"E F Tipton, J B Finley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To obtain a better understanding of the behavior of \"non-professional\" costs in a medical practice, the authors analyzed the expenses of a 19-doctor practice. The analysis revealed that 80 percent of these expenses were fixed costs. Fixed costs, as opposed to variable costs, remain static in total but vary on a per unit basis as volume changes. Organizations with high fixed cost must maximize capacity to achieve profitability. Thus, the relationship among volume, capacity, cost and profit must be understood by medical practices negotiating rates for service units.</p>","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 4","pages":"28-31"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21401147","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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