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Related Experiment Videos

Managing under managed care: winning strategies.

P M Katz

    Healthcare Financial Management : Journal of the Healthcare Financial Management Association
    |June 8, 1988
    PubMed
    Summary

    Financial managers need strategies to control complex managed care contracts. Effective management requires medical staff cooperation, improved financial controls, better information systems, and productivity measurement for hospitals.

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    Area of Science:

    • Healthcare Management
    • Financial Administration
    • Hospital Operations

    Background:

    • Managed care contracts are increasing in number and complexity.
    • Effective financial management is crucial for hospitals navigating these contracts.

    Purpose of the Study:

    • To outline essential strategies for financial managers to control and manage complex managed care contracts.
    • To present a framework for hospitals to address the challenges of managed care.

    Main Methods:

    • This article is the first in a six-part series.
    • It reviews strategies employed by hospitals in managing managed care.
    • Focuses on financial controls, information systems, and productivity.

    Main Results:

    • Successful managed care requires medical staff cooperation.
    • Improved financial controls and forecasting are essential.
    • Effective information systems and case-mix management are key.

    Conclusions:

    • Hospitals must adopt comprehensive strategies to manage managed care.
    • The series will illustrate successful and unsuccessful approaches to managed care challenges.
    • Proactive financial management is vital for hospital success in managed care environments.

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