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Preferred provider organizations: the new health care partnerships.

It is a rare hospital organization that is not involved with an HMO, PPO, or other alternative delivery system. It is a strategic imperative for most hospital organizations to participate in ventures which can direct blocs of patients. Preferred provider organizations have all the elements necessary to ensure the success of new financing and delivery arrangements--but why have so many failed to reach their promised expectations. This article describes the objectives of each of the four major participants in a PPO arrangement: providers, employers, employees, insurance carriers/administrators. Each of these partners must benefit from the new delivery/financing mechanism. Arrangements will differ given the local stage of HMO development, hospital and physician cultures, insurance company traditions, and the general "competitiveness" of the marketplace. A successful PPO arrangement will effectively address the objectives of each partner; it will provide a mechanism for bringing providers and purchasers together in developing exciting new health care financing programs.

Economic Competition↗

AIDS in the workplace: what can be done?

Employers must face the fact that some of their employees may eventually develop AIDS. Yet many organizations still have not developed a comprehensive policy that addresses the issues of educating the workforce about this disease, testing for the virus, and pressuring insurance carriers to change their policies to allow more cost-effective forms of care for people who have AIDS.

Acquired Immunodeficiency Syndrome↗

Risk sharing--the crossroad of interest between providers and benefit financing entities.

As market dynamics force elements of the health industry closer together, risk sharing and the group plan of benefits offer many opportunities for reward. Shared mutuality which benefits all parties is often the result of creative risk sharing. This article explores creative risk sharing and how the partners might enjoy the opportunities for efficiencies and rewards that it offers.

Aged↗