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Results for “Economic Competition”

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Medical economics and the physician-in-training.

The medical environment has undergone many radical changes in the past decade. The advent of "discount medicine" plans, such as PPOs and HMOs, has given new physicians both more choices and more restrictions to consider when planning their practices. The interdependence of physicians and hospitals is discussed.

Economic Competition↗

The determination of the profits of not-for-profit hospitals.

When challenged, hospital administrators may find themselves faced with the responsibility of defending both the existence and use of the profits of the hospital. This issue of DRG Monitor explores the reasons for the recent interest in the profits of not-for-profit (NOPRO) hospitals, analyzes the factors that determine hospital profits, and considers the different ways of using NOPRO profits and their implications in the context of the changing health care environment.

Accounts Payable and Receivable↗

The private deal.

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Economic Competition↗

What HMOs should tell their subscribers, and what you can do about it.

All health maintenance organization (HMO) plans try to control costs by restricting choice of physicians and regulating utilization of service. Have some plans gone too far? Patient and physician can become caught in a complex web of gatekeepers and capitation arrangements, withholds, bonuses, and penalties. Patients are almost always unaware of the details of these pressures on the physician. For the free market system to operate, potential subscribers should receive all of the facts about their HMOs. This article offers practical suggestions for concerned physicians, including information about proposals for legislative requirements of disclosure statements and a list of questions patients should ask before joining an HMO.

Economic Competition↗