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Physician Integration & Alignment - IPA, PHO, ACOs, and Beyond (Hardcover, New)
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Physician Integration & Alignment - IPA, PHO, ACOs, and Beyond (Hardcover, New)
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Today, with physician and hospital reimbursement being cut and tied
to quality incentives, physicians and health plans are revisiting
the concept of integration. Payers are demanding that the industry
do more with less without sacrificing quality of care. As a result,
physicians again find themselves integrating and aligning with
hospitals that have the resources they lack or must develop
together. Written by an acknowledged expert in the field of
physician integration and managed care contracting, Physician
Integration & Alignment: IPA, PHO, ACOs, and Beyond examines
physician integration and alignment in the current healthcare
market. It outlines the common characteristics of integrated groups
and various organizational structures, and also explains how you
can avoid making the same mistakes of the past. Filled with
suggestions and ideas from successfully integrated practices, the
book: Identifies industry drivers for the resurgence of integrated
models and the need for aligned models Provides a look at the
common characteristics of integrated and aligned groups and how the
components can work together Discusses antitrust and other
regulatory concerns present when considering the right
organizational and management structure Offers time- and
money-saving checklists, lessons learned, models, and
templates-saving you thousands of dollars in consulting fees Maria
K. Todd provides readers with the vision and practical tools needed
to organize their business entities in a manner that will maximize
economic clout and provide quality of care for both the hospital
and physician group. This much-needed resource includes helpful
insights on topics such as declining physician reimbursement,
declining margins, physician shortages, physician-hospital
competition, rising practice investment requirements, the return to
capitation as a payment mechanism, and recent changes in the
relationships between physicians and health systems. Maria
currently is the principle of the largest globally integrated
health delivery system in the world with over 6,000 hospitals and
85,000 physicians spanning 95 countries. She has developed more
than 200 integrated and aligned IPAs, PHOs, ACOs, MSOs and
healthcare clusters in her career.
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