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Complementary and alternative medicine--a business opportunity?

This desire for health and well-being is driving the rapid growth of the complementary and alternative medicine (CAM) industry and points to a new role for health care professionals, including business opportunities for medical groups. CAM represents the opportunity to grow practice revenues, expand a group's tool kit for assisting patients with health care issues, and retain or increase market share by proactively responding to consumers. With respect to CAM, physician practices can lead their market, follow it or ignore it.

Capital Financing↗

Using compensation to improve primary care.

Progressive primary care networks are now placing significant portions of physician salaries at risk by linking compensation to quantifiable measures such as net medical revenue (collections), reduced practice expenses, cost and utilization, quality of care and patient satisfaction. For most networks, a combination of productivity increases and expense reductions are critical to ensure financial survival. This case study illustrates how one network's unique incentive compensation program targeted higher productivity levels by incentivizing desirable behaviors.

Efficiency, Organizational↗

New compensation model improves physician productivity.

In the mid-1990s, Meridia Health System, a hospital system in the Cleveland, Ohio, area began acquiring primary care physician practices to form the core of an integrated delivery system to compete with other providers in the area. Unfortunately, the structure of the physician compensation plan for Meridia's new physician employees caused productivity to decline and losses to mount. Meridia appointed a task force that included physicians to develop a new compensation plan that bases pay on the application of a collection rate percentage to each physician's gross fee-for-service billings. While not perfect, the new compensation plan is helping both Meridia and its physicians achieve their mutual goals of high-quality care, reasonable productivity, and operating efficiency.

Community Networks↗

Physician practice management companies: should physicians be scared?

Physician practice management companies (PPMCs) manage nonclinical aspects of physician care and control physician groups by buying practice assets. Until recently, PPMCs were a favorite of Wall Street. Suddenly, in early 1998, the collapse of the MedPartners-PhyCor merger led to the rapid fall of most PPMC stock, thereby increasing wariness of physicians to sell to or invest in PPMCs. This article explores not only the broken promises made by and false assumptions about PPMCs, but also suggests criteria that physicians should use and questions would-be PPMC members should ask before joining. Criteria include: demonstrated expertise, a company philosophy that promotes professional autonomy, financial stability, freedom from litigation, and satisfied physicians already in the PPMC. The authors recommend that physicians seek out relatively small, single-specialty PPMCs, which hold the best promise of generating profits and permitting professional control over clinical decisions.

Contract Services↗

Turnaround distressed physician practices. 20 tips for success.

Physician practices are restructuring through merger and acquisition, and sale to practice management companies and to hospital systems. Many also are expanding internally by recruiting new physicians and opening additional offices. For many these strategies are working, but many others are experiencing operational and financial distress and failure that arise from rapid organizational growth without concomitant infrastructural change. Further, in the last several months, many national and regional practice management companies have decided to withdraw from the business, and others have declared bankruptcy. The number of physician practices that are in financial and operational distress is unprecedented. These groups require a solution, as proposed in this article.

Bankruptcy↗

Protect your practice: payers for sale.

Mergers and acquisitions are common among managed care plans today, When an HMO puts itself on the market, it wants to make itself as attractive as possible to a potential buyer. The contracting strategies and operational changes it may pursue as a result offer both challenges and opportunities to physician practices. Whether contracting directly with managed care plans or participating in a contracting entity such as an IPA or PHO, you should understand how to best position your practice should an HMO in which you participate goes up for sale.

Contract Services↗

What is your practice worth?

Time has proven that expert valuation of dental practices combines both art and science. The valuation results will vary according to the methods used, and, frequently, the most difficult task is to reconcile the various values derived through different acceptable valuation techniques.

Dentists↗