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Author Todd, Maria K., author

Title Physician integration and alignment : IPA, PHO, ACOS, and beyond / by Maria K. Todd
Edition First edition
Published Boca Raton, FL : Productivity Press, an imprint of Taylor and Francis, 2012
Online access available from:
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Description 1 online resource (260 pages) : 20 illustrations
Contents Chapter 1 -- The Goals and Objectives of Physician Alignment and Integration: Form Follows Function -- chapter 2 -- Independent Practice Associations (IPAs) -- chapter 3 -- Physician Hospital Organizations (PHOs) -- chapter 4 -- Accountable Care Organizations (ACOs) -- chapter 5 -- Management Services Organizations (MSOs) -- chapter 6 -- Corporate Form: Myriad Choices -- chapter 7 -- The Steering Committee Gets Busy: Step-by-Step Instructions for What to Do and How to Do It -- chapter 8 -- Guidance for the Utilization Management and Quality Improvement Steering Committees -- chapter 9 -- Network Financial Management: The Intersection of Finance, Utilization Management and Capitated Risk Management -- chapter 10 -- Provider Organization Credentialing and Privileging -- chapter 11 -- Credentialing Committee's Assignment: What to Do and How to Do It -- chapter 12 -- Antitrust Compliance Task Force: Understanding Antitrust Concerns for Provider Networks -- chapter 13 -- Business Plan Development -- chapter 14 -- Guidance for the IT Committee -- chapter 15 -- Contracting with Payer Organizations -- chapter 16 -- Contracting for Capitation and Bundled Service Arrangements -- chapter 17 -- Understanding Capitation Performance Guarantees -- chapter 18 -- Considerations for Reinsurance Purchases for the Integrated Health Delivery System -- chapter 19 -- Opportunities in Delegated Utilization Management and Claims Management for the MSO -- chapter 20 -- Beyond Traditional HMO and PPO Contracts: Direct Contracting with Employer-Sponsored Health Benefit ERISA Plans
Summary 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 and 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
Notes English
Subject Accountable Care Organizations -- organization & administration
Integrated delivery of health care -- organization & administration
Financial Management -- organization & administration
Health services administration -- United States
Health services administration.
Hospital-physician joint ventures -- organization & administration
Independent Practice Associations -- organization & administration
Integrated delivery of health care -- United States
Integrated delivery of health care.
Delivery of Health Care, Integrated
BUSINESS & ECONOMICS / Management Science.
COMPUTERS / Operating Systems / General.
Health services administration
Integrated delivery of health care
United States
Form Electronic book
Author Taylor & Francis.
ISBN 9781439813096