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Physician partnering: a provider network primer
A J Tortolani1, D Cascardo-Weissman
1New York Hospital-Cornell Medical Center, New York, USA.
Journal of Health Care Finance
|December 22, 1999
Summary
Physicians must reclaim healthcare administration from insurers to foster innovation. Establishing physician provider networks (PPNs) requires business acumen for a better healthcare system.
Area of Science:
- Healthcare Administration
- Medical Economics
- Physician Management
Background:
- Healthcare systems face daily changes due to consumer, physician, and employer dissatisfaction.
- Current healthcare administration is largely controlled by insurers, leading to systemic issues.
Purpose of the Study:
- To advocate for physicians to regain control of medical profession administration from insurers.
- To present essential business concepts for establishing physician provider networks (PPNs).
Main Methods:
- Discussion of basic business concepts for PPN formation.
- Analysis of benefits and pitfalls of various PPN association types.
Main Results:
- Physicians taking financial risks is crucial for healthcare innovation.
- PPNs offer a model for physicians to manage their practices and financial aspects.
Conclusions:
- Physicians must invest in the business aspects of managed care for future success.
- Reclaiming administrative control and establishing PPNs can lead to a superior healthcare system.