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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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What happened to the profession?

Paul J. Fink, M.D., reflects upon the erosion of significance plaguing the medical profession, and its impact on medical education. Physicians must transcend feelings of powerlessness and guilt if they are to overcome that erosion.

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