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Physician contracting in managed care

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Brian Wells, MD, MS, MPH
Brian Wells, MD, MS, MPH

Overview of physician contracting in managed care

EducationBusinessEconomy & Finance
1 of 21
Physician Contracting in Managed Care Brian A. Wells University of Florida November 13, 2003
What is Physician Contracting? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Statistics and Trends ,[object Object],[object Object]
Statistics and Trends ,[object Object],[object Object],[object Object]
Statistics and Trends ,[object Object],[object Object]
Physician Contracting Strengths ,[object Object],[object Object],[object Object],[object Object]
Physician Contracting Weaknesses ,[object Object],[object Object],[object Object],[object Object],Source: Doctors Struggle to Balance Professionalism with the Pressures of Everyday Practice. Retrieved April 25, 2003, from the American College of Physicians web site: http://www.acponline.org/journals/news/apr03/professional.htm
Is this Ethical? ,[object Object],[object Object],[object Object]
Is this Ethical? ,[object Object],[object Object],[object Object]
Physician Contracting Weaknesses ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case Study of McDuffie ,[object Object],[object Object],[object Object]
Opportunities for Physician Contracting ,[object Object],[object Object],[object Object],[object Object]
Threats to Physician Contracting ,[object Object],[object Object],[object Object],[object Object],[object Object],Source: Dolan, K. How to make direct contracting work. Medical Economics, October 27, 1994.
Threats to Physician Contracting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Threats to Physician Contracting ,[object Object],[object Object],[object Object],[object Object],[object Object],Source: Feldstein, P.J. Health Policy Issues: An Economic Perspective: Second Edition. Chicago: Health Administration Press; 1999.
Physician Contracting with Aetna ,[object Object],[object Object],[object Object],[object Object],[object Object],Source: AMNews – 4/24/2000 - Aetna consents to physician contracting principles in Texas - http://www.ama-assn.org/amednews/2000/04/24/gvl10424.htm
Physician Contracting with Aetna ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physician Contracting with Aetna ,[object Object],[object Object],[object Object],Source: Aetna President CEO John W. Rowe, MD, Announces National Implementation of More Flexible Physician Contracting Strategy – http://www.aetna.com/about/press/dec19_00.html
Recommendations and Conclusion ,[object Object],[object Object],[object Object]
Recommendations and Conclusion ,[object Object],[object Object],Source: Grazier, Kyle L. Managed Care and Physician Contracting. Journal of Healthcare Management, Jan 1999, v44, i1, pg. 11
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