Managed care and physician/hospital integration.

Health Affairs Managed care and physician / hospital integration

In This Issue: Price-fixing and Physicians Groups Price Discrimination in Hospital Pharmacies Staff Privileges and Exclusions

The Federal Trade Commission provided new guidance on its standards for “clinical integration” in its 2006 Advisory Opinion to Suburban Health Organization, Inc., stating that, if a network of competing physicians meets the FTC’s clinical integration standards, it may negotiate with a managed care organization (MCO) on behalf of its physician members without fear of a federal Antitrust prosecut...

THE ILLUSIVE LOGIC OF INTEGRATION Healthcare Forum Journal (September/October 1994): 26-31 THE PROSPECT OF HEALTH REFORM HAS UNLEASHED A FRENZY OF activity in healthcare: mergers, consolidations, alliances, physician-hospital organization

THE PROSPECT OF HEALTH REFORM HAS UNLEASHED A FRENZY OF activity in healthcare: mergers, consolidations, alliances, physician-hospital organization development, practice acquisition, and the like. These strategies assume managed care-based reform, in which funding for those who are newly enfranchised will flow not to individual providers, but to systems and networks. This assumption is probably...

Physician-Hospital Integration in the Era of Health Reform

is a vice president of The Camden Group. Ms. Witt's expertise is in medical group and integrated delivery system development and management, including physician-hospital relationships, practice management, performance improvement, physician compensation, managed care, and strategic planning. is a senior vice president of The Camden Group. Ms. Jacobs's expertise is in the areas of physician-hosp...

Strategic integration of hospitals and physicians.

A striking development in the healthcare market place has been the formation of strategic relationships between hospitals and physicians. Hospital-physician integration appears to be a response to rapidly expanding managed care health insurance. We examine whether integration lead to efficiency gains from transaction cost economies thereby allowing providers to offer managed care insurance plan...