Managed Care and Physician/Hospital Integration

Health Affairs

Volumn 15, Issue 4, 1996, Pages 62-73

  Morrisey, Michael A ^a   Alexander, Jeffrey ^a   Burns, Lawton R ^a   Johnson, Victoria ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EPIDEMIOLOGY; HEALTH INSURANCE; HEALTH MAINTENANCE ORGANIZATION; HOSPITAL ORGANIZATION; HUMAN; INTEGRATED HEALTH CARE SYSTEM; ORGANIZATION AND MANAGEMENT; PUBLIC RELATIONS; STATISTICS; UNITED STATES;

DELIVERY OF HEALTH CARE, INTEGRATED; HEALTH CARE SURVEYS; HEALTH MAINTENANCE ORGANIZATIONS; HOSPITAL-PHYSICIAN JOINT VENTURES; HOSPITAL-PHYSICIAN RELATIONS; HUMANS; MANAGED CARE PROGRAMS; PREFERRED PROVIDER ORGANIZATIONS; UNITED STATES;

EID: 0042628068     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.15.4.62     Document Type: Article

References (22)

1. For a primer on integrated health care organizations, see L.R. Burns and D.P. Thorpe, "Managed Care and Integrated Health Care," in Health Care Manage- ment: Managed Care - Principles and Practice, vol. 2, ed. H. Jolt and M. Leibovici (Philadelphia: Hanky and Belfus, 1995), 101-108; and L.R. Burns and D.P. Thorpe, "Trends and Models in Physician-Hospital Organization," Health Care Management Review 18, no. 4 (1993): 7-20.
2. For a primer on integrated health care organizations, see L.R. Burns and D.P. Thorpe, "Managed Care and Integrated Health Care," in Health Care Manage- ment: Managed Care - Principles and Practice, vol. 2, ed. H. Jolt and M. Leibovici (Philadelphia: Hanky and Belfus, 1995), 101-108; and L.R. Burns and D.P. Thorpe, "Trends and Models in Physician-Hospital Organization," Health Care Management Review 18, no. 4 (1993): 7-20.
3. Ernst and Young, Physician-Hospital Organizations: Profile 1995 (Washington: Ernst and Young, 1995).
4. Burns and Thorpe, "Managed Care and Integrated Health Care," in Health Care Management.
5. For more detail on the survey, see Prospective Payment Assessment Commission, Hospital-Physician Relations: A National Survey of Hospital Chief Executive Officers and Chiefs of Medical Staff, Intramural Report 1-95-02 (Washington: ProPAC, November 1995).
6. L.R. Burns, Medical Staff Report (Chicago: American Hospital Association, 1993).
7. Common ownership and control of all three service elements create the opportunity to provide a seamless system of financing and delivery in which there is a single source of revenue and all elements are viewed as IHO expenses. See Burns and Thorpe, "Managed Care and Integrated Health Care," in Health Care Management.
8. See S.M. Shortell, R.R. Gillies, and D.A. Anderson, "The New World of Managed Care: Creating Organized Delivery Systems," Health Affairs (Winter 1994): 46-64; and L.R. Burns et al., "The Impact of Economic Integration on Physician-Organization Alignment: Results from the Center for Health Management Research Project on Physician-Organization Arrangements" (Paper presented at the Annual Meeting of the Association for Health Services Research, Chicago, Illinois, 5 June 1995).
9. See S.M. Shortell, R.R. Gillies, and D.A. Anderson, "The New World of Managed Care: Creating Organized Delivery Systems," Health Affairs (Winter 1994): 46-64; and L.R. Burns et al., "The Impact of Economic Integration on Physician-Organization Alignment: Results from the Center for Health Management Research Project on Physician-Organization Arrangements" (Paper presented at the Annual Meeting of the Association for Health Services Research, Chicago, Illinois, 5 June 1995).
10. M.A. Morrisey, J.A. Alexander, and R.L. Ohsfeldt, "Physician Integration Strategies and Hospital Output: A Comparison of Rural and Urban Institutions," Medical Care 28, no. 7 (1990): 587-603.
11. S.M. Shortell, R.R. Gillies, and K.J. Devers, "Reinventing the American Hospital," The Milbank Quarterly 73, no. 2 (1995): 131-160; and J.A. Alexander et al, "An Exploratory Analysis of Market-Based, Physician-Organization Arrangements" (Working paper, University of Michigan, October 1995).
12. S.M. Shortell, R.R. Gillies, and K.J. Devers, "Reinventing the American Hospital," The Milbank Quarterly 73, no. 2 (1995): 131-160; and J.A. Alexander et al, "An Exploratory Analysis of Market-Based, Physician-Organization Arrangements" (Working paper, University of Michigan, October 1995).
13. A.L. Hillman, W.P. Welch, and M.V. Pauly, "Contractual Arrangements between HMOs and Primary Care Physicians: Three-Tiered HMOs and Risk Pools," Medical Care 30, no. 2 (1992): 136-148; and Marion Merrell Dow, Managed Care Digest: HMO Edition (Kansas City, Mo.: Marion Merrell Dow, 1994).
14. A.L. Hillman, W.P. Welch, and M.V. Pauly, "Contractual Arrangements between HMOs and Primary Care Physicians: Three-Tiered HMOs and Risk Pools," Medical Care 30, no. 2 (1992): 136-148; and Marion Merrell Dow, Managed Care Digest: HMO Edition (Kansas City, Mo.: Marion Merrell Dow, 1994).
15. M.A. Morrisey, Cost Shifting in Health Care: Separating Evidence from Rhetoric (Washington: AEI Press, 1994), 23-34.
16. R. Feldman et al., "Effects of HMOs on the Creation of Competitive Markets for Hospital Services," Journal of Health Economics 9, no. 2 (1990): 207-222.
17. D.V. Schulz, L.M. Napiewocki, and D.R. Nerenz, Measuring Physician Integration in Health Care Systems (Chicago: Hospital Research and Educational Trust, 1994); Burns et al., "The Impact of Economic Integration on Physician-Organization Alignment;" and L.R. Burns, S.M. Shortell, and D.A. Anderson, "Does Familiarity Breed Contentment? Attitudes and Behaviors of Integrated Physicians" (Paper presented at the Annual Meeting of the Association for Health Services Research, Atlanta, Georgia, 10 June 1996.
18. D.V. Schulz, L.M. Napiewocki, and D.R. Nerenz, Measuring Physician Integration in Health Care Systems (Chicago: Hospital Research and Educational Trust, 1994); Burns et al., "The Impact of Economic Integration on Physician-Organization Alignment;" and L.R. Burns, S.M. Shortell, and D.A. Anderson, "Does Familiarity Breed Contentment? Attitudes and Behaviors of Integrated Physicians" (Paper presented at the Annual Meeting of the Association for Health Services Research, Atlanta, Georgia, 10 June 1996.
19. D.V. Schulz, L.M. Napiewocki, and D.R. Nerenz, Measuring Physician Integration in Health Care Systems (Chicago: Hospital Research and Educational Trust, 1994); Burns et al., "The Impact of Economic Integration on Physician-Organization Alignment;" and L.R. Burns, S.M. Shortell, and D.A. Anderson, "Does Familiarity Breed Contentment? Attitudes and Behaviors of Integrated Physicians" (Paper presented at the Annual Meeting of the Association for Health Services Research, Atlanta, Georgia, 10 June 1996.
20. ProPAC, Winners and Losers under the Medicare Program (Washington: ProPAC, 1992).
21. Shortell et al., "The New World of Managed Care."
22. T.L. Mark et al., "Hospital-Physician Relations and Hospital Financial Performance" (Working paper, Project HOPE, Center for Health Affairs, Bethesda, Maryland, 1996).