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Issue Date: September 1997


Multispecialty or Single-Specialty? Managed Care Drives Group Formation
Managed care is designed to offer one-stop shopping to large health care buyers. In theory, purchasers are supposed to be able to contract with one health plan and get many services for workers, dependents, and retirees.
This practice influences physician group formation and development significantly. It leads specialists


Columbia/HCA Investigation Offers Lessons for Physicians
Columbia/HCA built its $20 billion empire partly on financial partnerships with physicians. Columbia’s former chairman and CEO, Richard Scott, pushed limited partnerships for high-admitting doctors. Under Scott’s theory, having physicians invest in Columbia hospitals would motivate them to admit and refer more patients to Columbia’s


Balanced Budget Act Creates Opportunities for Physicians, Hospitals Act Has Far-reaching Implications for All Providers
The Balanced Budget Act will foster dramatic changes in health care over the next few years. While the federal government will offer Americans a tax cut of $263 billion, it will offset losses in income tax revenue by cutting $115 billion from the Medicare program and $13 billion from Medicaid. <


Group Sees Changes After One Year With PhyCor
Two years ago, managed care enrollment was growing quickly in South Carolina. Many physicians in Columbia were fearful that managed care would dominate the market and limit their options, according to Michael Harris, MD, and Robert Callis, MD. Family practitioners, Harris and Callis were part of a 13-member group


How Clinical Support Systems Could Change Medicine at the Point of Care
Experts predict competition in markets dominated by managed care will force physicians to adopt sophisticated information systems to help them make clinical decisions.
E. Harry Creasey, president and CEO of Kelson Physician Partners, a physician practice management company in Bloomfield, Conn., for example, has said information systems for clinical


Oxford Empowers Physicians by Educating Its Health Plan Members
Second of two parts
Q:Dr. Saferstein, earlier you spoke about how Oxford has developed one system in which patients can see any physician and another system in which physicians work as part of specialty teams for particular diseases. How does a patient choose whether to go to a


Consolidation Trend Encompasses Both Single-Specialty and Multispecialty Practices
Physician practice management companies (PPMCs) continue to acquire physician groups at a rapid pace. In the 12 months ending July 7, PPMCs have announced an estimated 270 acquisitions, an increase of 25% from the 215 practices they acquired in the previous year. Increasingly, physicians need capital and management expertise to




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