September 1997

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For-profit or not-for-profit: Does it matter?

Can Your HMO’s Documents Pass the Readability Test?

Why can’t patients understand managed care information? Too often, printed materials baffle them because authors don’t take into account literacy level, reading skills, thinking style or short-term memory.

Taking Back the Power? Will Physicians Reclaim Control of Medical Care?

Phyllis Maguire

Taking Back the Power? They Made the Right Choice When the Money Ran Low

In Virginia, sheer persistence helped a large family practice group forge a partnership that provides the capital for full-risk contracting without requiring subservience.

Taking Back the Power? Making ‘HMO’ a Synonym For ‘Insurance Company’

In Minnesota, a joint venture between two family practice groups is reclaiming for family doctors the power to decide which specialists and hospitals to send their patients to.
In California, multiyear “evergreen” HMO contracts are one ticket to greater operating autonomy for a large medical group created by a recent merger.

Taking Back the Power? Life Can Be Simpler With a Cash-Rich Partner

In Florida, one physician group believes trading away a measure of financial independence to a physician practice management company has actually given it more clout where it counts.

Taking Back the Power? The Answers Are Different for Different Physicians

For physicians, reclaiming a measure of clinical autonomy can be a matter of health itself. But alas, there’s no one blueprint to follow.

A Day Spent Learning How To Satisfy Patients

For both physicians and health plans these days, it’s imperative to make sure patients are satisfied “customers.” But just how can that be done? Our reporter attended a workshop in Wisconsin to find out.

A News Reporter Explains His ‘HMO Horror Stories’

If you’ve ever grumbled about how the press plays up one tragedy while ignoring millions of successes, you won’t enjoy reading this. But you should. There’s a lesson here about managed care’s failure to tell its story effectively.

An Interview with David Nash, M.D., M.B.A.

Applying the principles of industry to the practice of medicine has occurred to a number of people at different points in their careers. It hit David Nash in high school.
Backers hope that provider-sponsored organizations will offer some pretty strong competition to conventional Medicare and Medicaid HMOs. Opponents claim PSOs have been given an inappropriate advantage.
Organizations such as NCQA are grading managed care plans on many aspects of care and making the results public. Health plans, in turn, are evaluating physicians. Here are some suggestions for making the grade.

Innovation + Incentives + HEDIS = High Immunization Rates

The national goal is to immunize 90 percent of children under 2 by 2000, yet today the rate is still only about 75 percent. To meet the target, health plans are employing a variety of new techniques.



Maryland HMOs Sue State Commission Over Charges Levied by Hospitals


Where Is the Line That The Press Mustn’t Cross?


Report Reviews Strategies for Putting Quality Data in Employees’ Hands


Implications of Budget Deal Continue To Mesmerize Health Care Community


Growth in primary care pay outstrips increases in specialist compensation


Should Medical Ethics Be Part of Public Relations?


You Can Protect the Analysis, But Not the Underlying Data


When hospitals share risk with HMOs…

News & Commentary

Medical Group to 590 Physicians: Take 10% Pay Cut or Get Out

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