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Related Experiment Videos

Responding to managed care proposals.

D L Schryver

    Medical Group Management Journal
    |December 10, 1990
    PubMed
    Summary
    This summary is machine-generated.

    Managed care is now the primary health care delivery system, making "alternative delivery systems" an outdated term. Medical practices must adopt business strategies to effectively negotiate with managed care organizations.

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    Area of Science:

    • Health Services Management
    • Healthcare Administration
    • Business in Medicine

    Background:

    • The term "alternative delivery systems" is increasingly inaccurate for describing current healthcare models.
    • Managed care programs are becoming the predominant method of healthcare delivery.
    • These programs are typically managed by professionals with business expertise.

    Purpose of the Study:

    • To advocate for a terminology shift away from "alternative delivery systems."
    • To emphasize the need for medical practices to adopt business-minded approaches.
    • To advise healthcare providers on advantageous negotiation strategies with managed care.

    Main Methods:

    • Conceptual analysis of healthcare delivery terminology.
    • Examination of the administrative structure of managed care programs.

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  • Strategic business principles applied to healthcare negotiation.

    • Main Results:

    • "Alternative delivery systems" is an inappropriate and outdated descriptor for managed care.
    • Managed care's business-oriented administration necessitates a comparable approach from medical practices.
    • Adopting a business attitude is crucial for successful negotiation with managed care.

    Conclusions:

    • Healthcare terminology should reflect the current dominance of managed care.
    • Medical practices require enhanced business acumen to thrive in managed care environments.
    • Strategic negotiation, informed by business principles, is essential for healthcare providers.