What Is Physician Contracting In Healthcare Organizations

Author: Pamela H. Del Negro
Publisher:
ISBN: 9781627229661
Size: 37.76 MB
Format: PDF, ePub, Mobi
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This book describes some of the key legal and regulatory issues that lawyers should consider when drafting employment and clinical and administrative services agreements between physicians and healthcare organizations.

Physician Integration Alignment

Author: Maria K. Todd
Publisher: CRC Press
ISBN: 1439813094
Size: 49.55 MB
Format: PDF, ePub
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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 ...

Cost Accounting For Health Care Organizations

Author: Steven A. Finkler
Publisher: Jones & Bartlett Learning
ISBN: 9780834210127
Size: 43.68 MB
Format: PDF, ePub, Mobi
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Physician. Practice. Lorelei S. Cheli Product Cost Analysis in the Clinical
Laboratory Leonard D. Scinto. Changes in the reimbursement system for
physicians' services, like those for hospitals, require the physician in private
practice to examine cost issues. Traditionally, the physician in private ... Similarly,
a physician contracting for a prospective payment with an HMO or Medicare
through the MAAC reimbursement system encounters cost issues. The nursing
shortage is another factor ...

Competitive Strategy For Health Care Organizations

Author: Alan Sheldon
Publisher: Beard Books
ISBN: 1587981351
Size: 77.67 MB
Format: PDF, ePub, Docs
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This section addresses two key issues brought about by the contradiction
outlined above: first, fiscal and service relationships between health care
institutions and independent groups of physicians which contract with institutions
to provide selected services; and second, the physician as both marketer (
revenue producer) and supplier of services (resource consumer) . Contracting
with Physician Groups: The Case of Midland County Hospital The general rule in
the United States is that ...

The Law Of Tax Exempt Healthcare Organizations Website

Author: Thomas K. Hyatt
Publisher: John Wiley & Sons
ISBN: 1118532872
Size: 51.32 MB
Format: PDF, ePub, Docs
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In determining whether to classify a worker as an employee or an independent
contractor in the healthcare field, the 20 common-law factors must be applied.
One useful application of these factors is set forth in a section of the ... The
Hospital Audit Guidelines state that: [i]f the following factors are present, the
physician is most likely an employee even if the contract describes the physician
as an independent contractor. a. The physician does not have a private practice.
b. Hospital pays ...

Contracting With Managed Care Organizations

Author: Joseph A. Welfeld, FACHE
Publisher: Jossey-Bass
ISBN: 9781556481567
Size: 43.54 MB
Format: PDF, Docs
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Additionally, Contracting with Managed Care Organizations provides a unique clause-by-clause comparison between an undesirable and a desirable hospital agreement with an MCO.

Strategic Management Of Health Care Organizations

Author: Linda E. Swayne
Publisher: John Wiley & Sons
ISBN: 0470745622
Size: 39.26 MB
Format: PDF, Kindle
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In particular, simultaneous entry in 2002 into five new full-time contracts in a new
state (Wisconsin) pushed the firm to its limits. Moreover, the increase in revenues
created by the new contracts had been offset by increased costs, decreasing
profit margins. One of the reasons for higher costs had been sharply rising
professional liability insurance (PLI) costs for all physicians. In part, higher costs
resulted from a major PLI provider's exit, creating increased demand for PLI
coverage from ...

Capitation In California

Author: Maurice J. Penner
Publisher: Maurice Penner
ISBN: 9781567930511
Size: 72.23 MB
Format: PDF, Kindle
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This "from-the-trenches" guide can help you meet the challenges of forecasting a population's healthcare needs, building a provider panel, establishing financial incentives for providers, establishing information systems for managed care, ...

Risk Management Handbook For Health Care Organizations 3 Volume Set

Author: American Society for Healthcare Risk Management (ASHRM)
Publisher: John Wiley & Sons
ISBN: 0470649194
Size: 43.56 MB
Format: PDF, ePub, Mobi
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Particular attention should be given to liability limitation provisions regarding
errors and omissions, professional acts, breach of contract, personal injury, and
property damage. One example of this is when a physician is underinsured (
coverage limits are less than the damages awarded against the physician) and
the hospital or other healthcare provider must assume a greater share of the
costs due to joint and several liability statutes. Subrogation Rights In a
subrogation action, ...

Quality Management In Health Care Principles And Methods

Author: Donald Lighter
Publisher: Jones & Bartlett Learning
ISBN: 0763732184
Size: 32.27 MB
Format: PDF, ePub, Docs
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3.5.1.5 3.5.2 3.5.2.1 3.5.2.2 Specific requirements for an M+CO that operates a
coordinated care plan or network MSA plan providing benefits through
contracting providers and that suspends or terminates a physician's contract are
as follows: 1. The organization must give the affected physician written notice of
the reasons for the action, including, if relevant, the standards and profiling data
used to evaluate the physician and the numbers and mix of physicians needed
by the M+C ...