September 1996

A Personal View
For physicians, argues this managed care consultant, losing financial independence means losing clinical autonomy as well. His recommended solution: statewide, physician-owned HMOs.

Thomas J. Garvey, M.H.A.

Special Supplement to Managed Care
Quality is the watchword for health plans that wish to survive to see the new century, and accreditation by the National Committee for Quality Assurance is becoming quality's indispensable stamp. Practice guidelines are an imperative for that accreditation. Here's what seven managed care leaders had to say about guidelines in a recent round-table discussion.
Simple, production-based formulas for paying physicians won't help a medical group or HMO thrive in today's largely capitated world, says a physician recruiter. Instead, you need a "physician incentive program."

Mark Smith

Doctors who sell to practice management companies like Florida's Sheridan HealthCorp. are spared some of the uncertainties of today's harried medicine. They also miss some of its satisfactions.

David Volz

Managed care administrators needn't have Socialist-realist nightmares of massed doctors on the march — not yet. But some physicians have reacted to today's business pressures by organizing labor unions.

CHUCK APPLEBY

Managing Editor's Memo

Timothy Kelley

Legal Forum

Neil Caesar, J.D.