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Issue Date: August 1996

Market Demands Physicians Find Strength in Numbers
Seeking clinical independence in the current managed-care dominated market, many independent physicians want to move from a position of weakness to one of strength.
Markets are moving quickly toward managed care maturity. In such metropolitan areas as Atlanta, Miami, New Orleans, Denver, Philadelphia, and New York, rapid transformation

Why Managed Care Struggles in Rural America
Over the past few months, I’ve spoken frequently with physicians and hospital administrators in towns of 15,000 to 75,000. Most often these doctors and administrators are concerned about the future of managed care in their communities. Rural communities and the areas they draw from represent about 25%

Physicians in Staff-Model HMO Form New Group in Changing Connecticut Market
Connecticut is a managed care anomaly. It is the home of two managed care giants—Aetna-U.S. Healthcare and Cigna—and four of its HMOs—Physicians Health Services, Blue Cross Blue Shield, Connecticare, and M.D. Health Plan—have more than 150,000 members each. In 1987, the

How a Rural Physicians’ Group Prepares for Managed Care
Q: Dr. Nuckolls, what’s the nature of your practice and where is Galax, Va.?
A:Galax, Va., is in the western part of Virginia. People from Washington call me frequently and want to come out and see our practice. I tell them, “That’s great. I’d love

Preparing for Investment, Part Two: Building Value
Determining the value of a physician organization is not unlike appraising diamonds. A two-carat diamond is worth more than twice as much as a one-carat diamond. Also, size is not the only determining factor. When valuing a diamond, one also considers color, cut, and clarity. Like diamonds, all

What You’ll Need for Capitation
As managed care becomes the predominant mode of reimbursement, cost pressures require medical groups to review their practice style, particularly, the ambulatory component. The typical medical group’s infrastructure and operational systems do not adequately support managed care or capitation. The financial implications of managed care and the diverse requirements