Vol. 6, No. 9
A couple of years ago, experts began saying physicians would reclaim some of the clout lost to HMOs in early managed care. We focus on four innovative physician groups to see if the prediction is coming true.
Fairfax, Va.: Fairfax Family Practice Centers
St. Paul, Minn.: Family Health Services Minnesota
San Francisco, Calif.: Brown & Toland Medical Group
St. Petersburg, Fla.: St. Petersburg/Suncoast Medical Group
If doctors do launch a "second revolution" in health care, it may be because of these things that bother them about managed care.
For both physicians and health plans these days, it's imperative to make sure patients are satisfied "customers." But just how is that done? Our reporter attended a workshop in Wisconsin to find out.
Why can't patients understand managed care information? Too often, health plans' printed materials go way over their members' heads.
If you've ever grumbled about how the press plays up one tragedy while ignoring millions of successes, you won't enjoy reading this essay by a Pulitzer Prize winner. But it offers a public relations lesson.
The director of health policy and clinical outcomes at Thomas Jefferson University sees a day when costs of care will be predictable. That will mean changes for both physicians and HMO administrators.
Backers hope that provider-sponsored organizations will offer strong competition to conventional Medicare and Medicaid HMOs. Opponents say PSOs have been given an inappropriate advantage.
Organizations such as NCQA are grading managed care plans and making the results public. Health plans, in turn, are evaluating physicians. Here are some practical suggestions for making the grade.
The national goal is to immunize 90 percent of children under two by 2000. Innovative techniques help health plans aim for that target.
Editor's Memo 6
News and Commentary 8
Washington Initiatives 10
State Initiatives 15
Employer Update 18A
Compensation Monitor 19
Legal Forum 114
Managed Care Outlook 118