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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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Drafting a termination agreement

Many issues could arise upon leaving a medical practice. It is essential to negotiate the terms of a Termination Agreement to ensure a smooth withdrawal or split-up. Learn the types of provisions that should be included in the documents.

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Program for physician empowerment

Gary C. Brown, M.D., offers a five-step plan for physicians to challenge the health care industry trend toward decreasing physician autonomy. Physicians must learn the business language, collaborate effectively, decrease the rate of rise in number of physicians, take active political roles and halt the trend of physicians selling their practices.

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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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