And now, a 'report card' from the doctors


When the Pacific Business Group on Health contracts with health plans, it places 2 percent of the premium at risk to promote cooperation between plans and providers. If a plan meets specified targets for "partnering," as PBGH calls it, the plan keeps the portion of the premium at risk. How well do plans meet that goal? According to a PBGH survey of medical groups and independent practice associations in four states, HMOs' relationships with physicians are improving, but there is still a need for closer collaboration.

Physicians were asked to rate the following health plans: In Arizona, Aetna, Blue Cross Blue Shield, Cigna Network Model, HealthPartners, Humana, Intergroup, PacifiCare and United HealthCare; in California, Aetna, Blue Cross CaliforniaCare, Blue Shield, Care America, Cigna, FHP, Foundation, Health Net, PacifiCare and Prudential; in Oregon, HMO Oregon, Providence Good Health Plan, SelectCare, QualMed and PacifiCare; in Washington, Health Plus, First Choice, Providence Good Health Plan, Group Health Northwest, QualMed and PacifiCare. Kaiser Permanente, with its single physician group, was not part of the survey.

SOURCE: PACIFIC BUSINESS GROUP ON HEALTH, SAN FRANCISCO, 1998

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

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