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Medicine & Business

Adding a physician extender

Patient care management can be made more cost-effective while affording a reasonable lifestyle for physicians and maintaining quality of care by adding a physician extender to the practice’s team. Consider the economic rationales, as well as licensure and reimbursement parameters.

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Consider a single-specialty network

If you are a specialist, consider the advantages offered by single specialty networks, which include increased control in a managed care environment, enhanced negotiation clout with health plans or primary care groups, shared administrative resources and marketing leverage.

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Integration in ambulatory care centers

The merger of physicians or their acquisition by hospitals often encounter logistical and bureaucratic obstacles to meaningful unity. Those problems can be overcome by consolidating sites into strategically located ambulatory care centers, an approach that has competitive advantages to the sponsoring organization.

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Managing capitated high-risk enrollees

The first step is identifying high-risk enrollees with self-administered surveys. The authors discuss population-based screening instruments and probability of repeat hospitalizations surveys. The second step is following the at-risk patient. Interviews and case management programs are appraised.

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Avoiding practice merger traps

How to weigh advantages and disadvantages of practice mergers. Specific traps to watch out for include ownership, governance, compensation, liability, fraud and abuse, reimbursement, taxation, benefits, antitrust and personnel.

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