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.
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.
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.
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."
Managing Editor's Memo
Neil Caesar, J.D.
John La Puma, M.D.
Managed Care Outlook