July 1997

Whatever Happened to Exclusive Contracting?

A few years ago, experts predicted that HMOs would be lining up exclusive “teams” of primary care physicians, specialists and hospitals. Today they don’t agree whether that prophecy was wrong or has simply been delayed.
The momentum in managed care has shifted to for-profit plans, but don’t count out not-for-profits, particularly these three innovative and — for many enrollees — beloved HMOs. They aren’t resting on their laurels.

An Interview with Scott Weingarten, M.D.

This noted internist and lifelong Angeleno has nothing against the art of medicine. He just wants to complement it with the most rigorous science available.

Diary of the Birth of an HMO

Even with hospital money and PPO experience behind you, getting a new HMO started is a daunting proposition. Here’s the step-by-step story of how one Louisiana health plan took the plunge.
In police lingo, ‘SWAT’ stands for Special Weapons And Tactics. It’s an apt metaphor for the team of workers a physician’s office can assign to Solve Worrisome Account Troubles.

Jeffrey J. Denning

Projecting a Leaner Managed Medicare

If Congress tightens the belt on Medicare HMOs, it could slow the march of elderly Americans into managed care, creating complications for physicians. But that march won’t be stopped.

Departments

EDITOR’S MEMO

What You’re Reading Is a Well-Oiled Machine

STATE INITIATIVES

Impact of New Texas HMO Liability Law Depends on How Congress Treats ERISA

EMPLOYER UPDATE

Medstat Promises Satisfaction Reports That Are Free of Suspicion of Bias

COMPENSATION MONITOR

Family physicians prosper as managed care spreads

LEGAL FORUM

Get Help Fighting Fraud Investigation, But Don’t Shoot Yourself in the Foot

ETHICS

Anticipating Managed Care in the Year of Lindbergh

MANAGED CARE OUTLOOK

When HMOs contract with organized delivery systems

News & Commentary

Florida Warns 40% of State’s HMOs It May Force Them Into Receivership


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