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Related Experiment Videos

Developing an in-house physician advisor program.

G D Lawless, D B Holt

    Physician Executive
    |April 9, 1991
    PubMed
    Summary
    This summary is machine-generated.

    Rising healthcare costs in the 1980s spurred demand for utilization management. This article outlines a process for creating effective in-house physician advisor programs to meet this need.

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    Area of Science:

    • Healthcare Management
    • Health Services Research
    • Medical Economics

    Background:

    • The 1980s saw a significant increase in healthcare expenditures.
    • This led to the growth of utilization management companies.
    • Physician advisors became crucial for case review within these companies.

    Purpose of the Study:

    • To present a foundational process for establishing an in-house physician advisor program.
    • To guide healthcare organizations in developing efficient physician advisor functions.
    • To address the increasing need for in-house physician expertise in utilization management.

    Main Methods:

    • The article outlines a conceptual framework for program development.
    • It details key components for a functional physician advisor program.

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  • Focus is on practical steps for implementation and efficiency.

    • Main Results:

    • A structured approach can lead to a functional in-house physician advisor program.
    • Efficient programs can support utilization management goals.
    • In-house programs offer advantages in case review and cost control.

    Conclusions:

    • Developing an in-house physician advisor program is feasible and beneficial.
    • Such programs are essential for effective healthcare cost containment.
    • This model provides a roadmap for healthcare organizations.