Groups position themselves for the health care reform debate. Making moves.
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Biomedical subjects
Publications and source records attributed to T Hudson.
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Attorneys and executives who have built PHOs say they aren't essential for risk contracting and integrated delivery systems, but are extremely helpful. But they add that skilled, careful planning is key to the ultimate success of any PHO.
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Confused about the details of the legal models for integrated delivery systems? You have reason to be. Attorneys structuring the systems say nearly every one is different--shaped by its owners, participants and local environment. Though few generalizations can be made about the structures, three basic models are emerging: a management services organization (MSO), a medical foundation, and a fully integrated entity.
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Who will integrate care in the health networks emerging across the U.S.? The question is far from academic, as systems integration moves forward dramatically. In our overview, we look at the challenges, conceptual and practical, of partnering. The integration taking place in southeast Michigan "didn't happen overnight," say those involved. But the Blue Cross partnership with two large health systems is transforming health care delivery in that area. The leaders in the Fallon Healthcare Organization in Worcester, MA, say physician direction has been a key to their success. Two Arkansas employers facing the same benefits crisis worked together on costs and ended up redirecting care delivery for employees. Three rural Pennsylvania hospitals faced growing resources issues together and found themselves building a regional alliance.
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