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Issue Date: May 1997


Two Bills in Congress Would Create Opportunities for PSOs
Legislation pending in Congress would loosen regulations that prohibit physicians and other providers from developing provider-sponsored organizations (PSOs) to serve Medicare patients nationwide.
Bills being considered in both Houses would exempt PSOs from state insurance licensing and solvency requirements for four years and would allow them to serve


Where We Stand on Managed Care
Readers often ask us where we stand on certain issues, particularly our position on managed care. While we are neither for nor against managed care as a method of reimbursement or of delivering health care, our mission is to offer practical, real-world advice to physicians about how to survive


Columbia/HCA Investigation Raises Questions About Medicare Billing
Columbia/HCA Healthcare Corp., the nation’s largest health care system, is being investigated by federal authorities for Medicare-billing procedures and for its physician-referral practices. In March, more than 100 agents from the FBI, the Internal Revenue Service, and the federal Health Care Financing Administration seized billing records


Primary Care Guidelines Aim to Increase Practice Efficiency
Second of two parts
Q: What is the purpose of Milliman & Robertson’s Healthcare Management Guidelines, particularly the recently published volume on clinical practices for outpatient treatment?
A:Volume Five of our Healthcare Management Guidelines was published in October 1996 in response to requests from Milliman & Robertson clients


Survey Results Outline Capital Needs of Many Physician Organizations
Many physicians are learning that they need capital to build competitive practices under managed care. Consolidating into larger multispeciality and single-specialty groups allows physicians access to investment capital needed to buy information systems and to purchase other practices. Capital also is needed to hire managers with the experience in


Source of Capital Affects All Aspects of Physician Group Operations
As more physician groups struggle to compete under managed care, they are finding it necessary to raise capital in either public or private markets. The Capital Survey of Emerging Healthcare Organizations shows the median estimated future capital requirements for an expanding free-standing medical group is $3.5 million. Such




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