Description

Book Synopsis
This fifth issue in the Industry and Health Care series takes a quick turn through unpredictable and only partially charted waters.

Table of Contents
1. What Can Industry Do for HMOs and HMOs for Industry?.- HMOs and Health Care Costs.- Industry and HMOs.- Notes.- 2. Defining Corporate Strategies and Goals.- Organizational Patterns and Beginning Steps.- Savings Potential in an HMO: The First Cut and a Second Look.- Data Deficiencies: Approximations and Proxies.- The Current Benefit Package and Management—Labor Relations.- The Physician—Patient Relationship and the Tightrope of Medical Politics.- Geography: Concentration and Clout.- The “Bottom Line” Is the Bottom Line….- …Or Is It?.- Notes.- 3. Identifying Available Options.- Salaried Group HMOs: Roots in Prepaid Group Practices.- Fee-for-Service HMOs.- Other Emerging HMO Models.- Potential Partners for HMO Development.- Notes.- 4. Assessing Legal Obstacles.- Liability Issues for the HMO.- Corporate Liability.- State Law.- ERISA.- Antitrust Law.- Conclusion.- Notes.- 5. Issues for the Future.- The Issues for Industry: Setting Realistic Expectations and Goals.- The Issues for HMOs: Amassing Useful Data and Establishing Credible Records.- The Broader Policy Issue: Who Ought to Realize the Savings?.- Notes.- Appendix I A National Call to Action: Secretary Califano’s HMO Conference.- Appendix II Bay State Health Care Foundation Hearings.- Appendix III Panel Discussion: Should Industry Sponsor Fee-for-Service HMOs?.

Industry and Hmos A Natural Alliance 5 Springer Series on Industry and Health Care

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    A Paperback by Richard H. Egdahl, Diana C. Walsh

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      Book details

      Publisher Springer New York
      Published 12/13/1978 12:00:00 AM
      ISBN-13 9780387903668
      978-0387903668
      ISBN-10 0387903666
      Also in:
      Pharmacy / dispensing

      Description

      Book Synopsis
      This fifth issue in the Industry and Health Care series takes a quick turn through unpredictable and only partially charted waters.

      Table of Contents
      1. What Can Industry Do for HMOs and HMOs for Industry?.- HMOs and Health Care Costs.- Industry and HMOs.- Notes.- 2. Defining Corporate Strategies and Goals.- Organizational Patterns and Beginning Steps.- Savings Potential in an HMO: The First Cut and a Second Look.- Data Deficiencies: Approximations and Proxies.- The Current Benefit Package and Management—Labor Relations.- The Physician—Patient Relationship and the Tightrope of Medical Politics.- Geography: Concentration and Clout.- The “Bottom Line” Is the Bottom Line….- …Or Is It?.- Notes.- 3. Identifying Available Options.- Salaried Group HMOs: Roots in Prepaid Group Practices.- Fee-for-Service HMOs.- Other Emerging HMO Models.- Potential Partners for HMO Development.- Notes.- 4. Assessing Legal Obstacles.- Liability Issues for the HMO.- Corporate Liability.- State Law.- ERISA.- Antitrust Law.- Conclusion.- Notes.- 5. Issues for the Future.- The Issues for Industry: Setting Realistic Expectations and Goals.- The Issues for HMOs: Amassing Useful Data and Establishing Credible Records.- The Broader Policy Issue: Who Ought to Realize the Savings?.- Notes.- Appendix I A National Call to Action: Secretary Califano’s HMO Conference.- Appendix II Bay State Health Care Foundation Hearings.- Appendix III Panel Discussion: Should Industry Sponsor Fee-for-Service HMOs?.

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