January 1996

Plans by two Midwest employer coalitions to contract directly with providers have raised the prospect that physicians across the country will try to eliminate the HMO “middleman.” In most cases, they’ll learn that it’s harder than it looks.

Anne Bilodeau

Last month, this family physician reported how a move from Albuquerque’s Lovelace Clinic to a specialist-dominated community in the East had made him plead, “Give me back managed care!” Here’s what happened when he decided to go back.

John David Irvin, M.D.

Considering a practice merger to better attract managed care contracts? Heed this consultant’s warning to inoculate your merger plan against a terminal case of “athlete’s foot.”

Raymond E. Scroggins, J.D.