Physician Integration Alignment

Today, with physician and hospital reimbursement being cut and tied to quality incentives, physicians and health plans are revisiting the concept of integration.

Author: Maria K. Todd

Publisher: CRC Press

ISBN: 1439813094

Category: Business & Economics

Page: 260

View: 510

Today, with physician and hospital reimbursement being cut and tied to quality incentives, physicians and health plans are revisiting the concept of integration. Payers are demanding that the industry do more with less without sacrificing quality of care. As a result, physicians again find themselves integrating and aligning with hospitals that have the resources they lack or must develop together. Written by an acknowledged expert in the field of physician integration and managed care contracting, Physician Integration & Alignment: IPA, PHO, ACOs, and Beyond examines physician integration and alignment in the current healthcare market. It outlines the common characteristics of integrated groups and various organizational structures, and also explains how you can avoid making the same mistakes of the past. Filled with suggestions and ideas from successfully integrated practices, the book: Identifies industry drivers for the resurgence of integrated models and the need for aligned models Provides a look at the common characteristics of integrated and aligned groups and how the components can work together Discusses antitrust and other regulatory concerns present when considering the right organizational and management structure Offers time- and money-saving checklists, lessons learned, models, and templates—saving you thousands of dollars in consulting fees Maria K. Todd provides readers with the vision and practical tools needed to organize their business entities in a manner that will maximize economic clout and provide quality of care for both the hospital and physician group. This much-needed resource includes helpful insights on topics such as declining physician reimbursement, declining margins, physician shortages, physician-hospital competition, rising practice investment requirements, the return to capitation as a payment mechanism, and recent changes in the relationships between physicians and health systems. Maria currently is the principle of the largest globally integrated health delivery system in the world with over 6,000 hospitals and 85,000 physicians spanning 95 countries. She has developed more than 200 integrated and aligned IPAs, PHOs, ACOs, MSOs and healthcare clusters in her career.

Physician Alignment

The book concludes with a chapter on accountable care organizations and patient-centered medical homes that moves from the conceptual to administrative embodiments of the principles of an integrated health system as we now know it.

Author: George Mayzell, MD, MBA, FACP

Publisher: CRC Press

ISBN: 1466588837

Category: Business & Economics

Page: 157

View: 459

Through healthcare reform, payment modifications, transparency, and a renewed focus on value, the healthcare industry is changing its organizational structure from one of a multitude of individual entities to one of a system-of-care model. This restructuring and subsequent alignment of information presents new risks and opportunities for physicians, hospitals, and other healthcare providers. Emphasizing effective interactions between physicians and the health system, Physician Alignment: Constructing Viable Roadmaps for the Future examines the different ways physicians and hospitals can create systems to not only survive, but thrive through the changes facing healthcare. It draws on experienced authors in the area of physician purchasing to explain the various integrative models for physicians and hospitals. Provides an accessible introduction to the different types of healthcare delivery models Covers the various types of integration—starting with the simplest and evolving into full employment models with full integration Includes helpful information for doctors considering a transition to physician employment Highlights emerging trends in healthcare Explaining how these systems should be constructed and aligned, the book provides healthcare organizations with a roadmap for planning for the future. The book concludes with a chapter on accountable care organizations and patient-centered medical homes that moves from the conceptual to administrative embodiments of the principles of an integrated health system as we now know it.

Annual Review of Health Care Management

review two decades of evidence on horizontal and vertical integration of
physicians, and provide a critical assessment of this widely used strategy. ... of
physician practice in nearly 20 years, Burns and his colleagues find little
evidence that physician integration actually generates ... service firms to argue for
a “new governance archetype” with potential to align incentives between
physicians and hospitals.

Author: Leonard H. Friedman

Publisher: Emerald Group Publishing

ISBN: 1783507160

Category: Medical

Page: 342

View: 164

This volume will interest healthcare researchers and health system designers alike. It revisits the evolution of health systems organization in light of regulatory and organizational evolution in health care, as well as assessing the latest evidence on physician integration, complexity, and system redesign.

Hospitals Health Care Organizations

Co-Management Arrangements Alignment, integration, and engagement of
physicians is another key strategy for health systems seeking to create high-
performing, high-quality, and high-efficiency organizations. Yet aligning
physicians' ...

Author: David Edward Marcinko

Publisher: CRC Press

ISBN: 1466575816

Category: Business & Economics

Page: 413

View: 943

Drawing on the expertise of decision-making professionals, leaders, and managers in health care organizations, Hospitals & Health Care Organizations: Management Strategies, Operational Techniques, Tools, Templates, and Case Studies addresses decreasing revenues, increasing costs, and growing consumer expectations in today‘s increasingly competi

Achieving STEEEP Health Care

... for System Alignment 18 Coordination of Quality Improvement Initiatives 18
System-Wide resource for health Care research and Improvement 18 Engaging
Physician Leadership 19 Physician Integration and Alignment 20 Accountable
Care ...

Author: David J. Ballard, MD, PhD, MSPH, FACP

Publisher: CRC Press

ISBN: 1466565381

Category: Medical

Page: 310

View: 402

Winner of a 2014 Shingo Research and Professional Publication Award! Reaching America’s true potential to deliver and receive exceptional health care will require not only an immense and concerted effort, but a fundamental change of perspective from medical providers, government officials, industry leaders, and patients alike. The Institute of Medicine set forth six primary "aims" to which every participant in the American healthcare system must contribute: health care must be safe, timely, effective, efficient, equitable, and patient-centered. Presented as the acronym STEEEP, the collective realization of these goals is to reduce the burden of illness, injury, and disability in our nation. Baylor Health Care System is committed to doing its part and has adopted these six aims as its own. Achieving STEEEP Health Care tells the story of Baylor Health Care System’s continuing quality journey, offering practical strategies and lessons in the areas of people, culture, and processes that have contributed to dramatic improvements in patient and operational outcomes. This book also discusses newer approaches to accountable care that strive to simultaneously improve the patient experience of care, improve population health, and reduce per capita costs of health care. Provides the perspectives of senior leaders in the areas of corporate governance, finance, and physician and nurse leadership Supplies strategies for developing and supporting a culture of quality, including systems and tools for data collection, performance measurement and reporting Includes service-line examples of successful quality improvement initiatives from reducing heart failure readmissions to coordinating cancer care Outlines approaches to accountable care and improved population health and well-being

Healthcare Financial Management

Methods for Measuring the Value of Alignment Conventional wisdom would
suggest that the methods Middlesex , Spectrum Health , and Geisinger use to
measure the value of physician - hospital integration would be focused on
increased ...

Author:

Publisher:

ISBN:

Category: Hospitals

Page:

View: 558

Some issues accompanied by supplements.

Handbook of Concierge Medical Practice Design

... physician integration and alignment, medical tourism, and this latest title on
concierge medicine. Her work is easily found on the Internet. Maria strives to be
accessible to individual practitioners. She maintains a popular website that
attracts ...

Author: Maria K. Todd

Publisher: CRC Press

ISBN: 1466568194

Category: Business & Economics

Page: 212

View: 935

In concierge medicine, physicians develop amenities-rich membership programs and collect a monthly or annual membership fee to pay for the amenities in addition to the medical services rendered. Handbook of Concierge Medical Practice Design examines the many considerations physicians must make prior to transitioning their practices into concierge services. Maria K. Todd, a recognized expert in concierge medicine, branding, consulting, healthcare, marketing, medical tourism, planning, and physician practice administration, explains how to set up a concierge practice. She describes how this new business model affects workflow and outlines financial considerations—including managed care payer relations, the hybrid practice, and predictive modeling—to uncover the hidden factors that affect bottom-line performance. The book supplies readers with models for creating a business plan and a strategy for transforming a practice into a concierge practice. It concludes by covering the legal aspects of creating a concierge practice. It includes patient acquisition and retention strategies as well as detailed plans for adding additional doctors and physician extenders, such as nurse practitioners and physician assistants. The book provides sample employment contracts and advice on how to select and work with consultants. It includes chapters on business process re-engineering, workflow management, financial considerations, competitive analysis, developing a business plan, and how to market the new practice.

Human Resources in Healthcare

For strategic alignment purposes , assessing physician attitudes requires a more
detailed treatment with specially ... Level of PhysicianOrganization The level of
physician integration with the healthcare organization is to a large extent ...

Author: Bruce Fried

Publisher:

ISBN:

Category: Business & Economics

Page: 293

View: 540


A Tale of Two Ownership Types

The Effects of Physician integration : Managed Care on Physician and Clinical
Salary and ownership ; Networking and JV ... Risk Assumption Alignment
between physicians and health care and Physician Alignment with Health Care
systems ...

Author: Margaret Chia-Yun Wang

Publisher:

ISBN:

Category:

Page: 348

View: 137


Alignment

A Provider's Guide to Managing the Practice of Health Care William Winston,
Paul A Sommers ... For example, if a health care organization believed that it
would be mutually advantageous to consolidate or integrate services or
operations with ...

Author: William Winston

Publisher: Routledge

ISBN: 1317948440

Category: Business & Economics

Page: 350

View: 431

Alignment: A Provider’s Guide to Managing the Practice of Health Care uses the method of alignment with proven examples and strategies to help health care providers achieve and maintain optimum effectiveness through continuous enhancement. Focusing on defining information and using it to distinguish your company or practice from the competition, this book is designed to help you take a proactive and cooperative role in health care to benefit patients or your business. From Alignment: A Provider’s Guide to Managing the Practice of Health Care, you’ll receive proven solutions to current problems in order to deliver the best possible services to clients and patients. This book defines alignment as the shortest distance from initiation to successful completion of any desired activity. With this goal in mind, Alignment offers you dozens of recommendations, proven strategies, and examples that will improve your services, including: designing health care systems to meet patient needs and accreditations by stressing clear communication and keeping up with current medical technology developing a checklist that includes four-year goals, defining your capabilities, analyzing finances for cost-effectiveness, and deciding important features to attract new patients and satisfy customers improving service quality by evaluating satisfaction surveys and developing short-term and long-term health care packages that meet employees’individual needs ensuring customer satisfaction by asking patients about their expectations and their needs educating physicians on customer-oriented service and rewarding them for competence and caring reducing the time between the initial patient visit and when the final bill is paid to enhance revenue flow Alignment is complete with graphs, tables, recommendations, objectives and solutions, examples, and a glossary to give you a thorough understanding of current concepts and ideas. Within Alignment: A Provider’s Guide to Managing the Practice of Health Care, you’ll discover innovative and proven techniques that will improve physician/administrator and physician/patient relationships to make your business effective and successful for you and your clients.

Health Affairs

208 Barriers To Alignment systems , and even in systems that value integration
highly , approaches may vary greatly . Despite ... 20 major policy shifts that would
encourage phyLack of focus on “ physicians ' issician - system alignment and the
 ...

Author:

Publisher:

ISBN:

Category: Medical economics

Page:

View: 863


The Proceedings of the Annual Health Care Information Management Systems Conference

Information services are not only linked , but resources committed to integration
of information systems . ... Management at the actual physician encounter level is
indirect , and often not cost - effective . ... Independent organizations , recognizing
market forces , agree to align and cooperate to accomplish specific goals .

Author:

Publisher:

ISBN:

Category: Hospitals

Page:

View: 453


The Integrated Behavioral Health Continuum

Physician Integration Tonges ( 1998 ) identified physician integration as one of
the three essential components of an organized ... Therefore , although financial
alignment is one of the key factors in achieving a common vision for integration ...

Author: Laurel J. Kiser

Publisher: American Psychiatric Pub

ISBN:

Category: Medical

Page: 321

View: 802

This practical volume brings together distinguished clinicians and policymakers who focus on the operational aspects of developing state-of-the-art integrated delivery systems, from concept and structural foundations to critical administrative and management structures.

Health Progress

We've Walter Morrissey , M.D. , vice president years , physician integration and
emseen examples of hospitals and ... on in terms of looking physician
employment is very expen Most organizations will be pursuing at alignment with
physicians .

Author:

Publisher:

ISBN:

Category: Catholic hospitals

Page:

View: 972


Changing Markets and Hospitals

and found that financial integration with physicians had little effect on operating
margins or occupancy and was negatively related to ... pursue physician
alignment for reasons other than acquiring capitated contracts ( Bazzoli , Dynan
et al .

Author: Alison Evans Cuellar

Publisher:

ISBN:

Category: Polish Americans

Page: 220

View: 486


Dictionary of Health Insurance and Managed Care

... inpatient capacity, Geographic distribution, Commercial premium, Physician
integration, Managed care characteristics, Employer and purchaser base,
Outcomes management, Strategic alignment, Organization and Governance,
Access to ...

Author: David E. Marcinko, MBA, CFP, CMP

Publisher: Springer Publishing Company

ISBN: 9780826149930

Category: Medical

Page: 372

View: 392

Designated a Doody's Core Title! To keep up with the ever-changing field of health care, we must learn new and re-learn old terminology in order to correctly apply it to practice. By bringing together the most up-to-date abbreviations, acronyms, definitions, and terms in the health care industry, the Dictionary offers a wealth of essential information that will help you understand the ever-changing policies and practices in health insurance and managed care today. For Further Information, Please Click Here!

Group Practice Journal

suggest that physicians replace healthcare administrators , but rather work in
partnership with them in order to ... However , in a SHO , synergistic value is
achieved by maximizing effectiveness through resource sharing , alignment of ...
However , receiving efficient care that is cost integration in its basic form the
effective .

Author:

Publisher:

ISBN:

Category: Group medical practice

Page:

View: 471


Changing Organizational Forms of Delivering Health Care

The Impact of Economic Integration on Physician - Organization Alignment . ”
Paper presented at Annual Meeting of Association of Health Services Research ,
Chicago . Burns , L.R. , R. M. Andersen , and S. M. Shortell 1989. “ The Impact of
 ...

Author: Jennie J. Kronenfeld

Publisher: Jai Press

ISBN:

Category: Health & Fitness

Page: 243

View: 829

This 15th volume in this series on the sociology of health care covers a variety of topics concerned with changing organizational forms of delivering health care. Areas addressed include behavioural mental health care, physicians, hospitals and managed care, and nurses.

The Changing Health Care Marketplace

Results from the most systematic study to date on integrated systems suggest that
physician integration and clinical integration are interrelated . ... alignment can
mitigate conflicts among primary care physicians , specialists , and hospitals .

Author: Walter A. Zelman

Publisher: Jossey-Bass

ISBN:

Category: Health & Fitness

Page: 348

View: 270

Explores the Rise of Managed Care An incisive and informative analysis of our rapidly changing health care system--the best of current books on the subject. --Arnold S. Relman, former editor-in-chief, New England Journal of Medicine Walter A. Zelman, a leading expert on health care research and policy, examines the key trAnds that are changing today's health care marketplace. He looks at the growth of managed care; the new and sometimes uneasy partnerships among physicians, hospitals, and health plans; and the trAnd toward integration between sectors. This important resource draws on the latest data and research, including more than fifty interviews with expert analysts and practitioners.

Modern Healthcare

In the third annual survey of integrated delivery systems, conducted for Modern
Healthcare, 57% of healthcare system executives said aligning physicians is still
the most trying part of putting together a system. The bad news is that 26% of ...

Author:

Publisher:

ISBN:

Category: Health facilities

Page:

View: 786