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Putting the 'manage' into managed care.

N Baum1

  • 1Dept of Urology, Touro Infirmary, New Orleans.

The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society
|July 1, 1992
PubMed
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Managed care is now a key part of healthcare, affecting physicians nationwide. This guide offers strategies for selecting and resolving issues with managed care providers.

Area of Science:

  • Healthcare Management
  • Medical Economics

Background:

  • Managed care is a significant and evolving aspect of modern healthcare systems.
  • Physicians are increasingly encountering managed care contracts, often outside their usual expertise.
  • The integration of large employers and industries into healthcare impacts physician practices.

Purpose of the Study:

  • To provide essential guidelines for physicians navigating managed care.
  • To assist physicians in selecting appropriate managed care providers.
  • To offer solutions for common problems encountered with managed care contracts.

Main Methods:

  • Review of current managed care landscape.
  • Analysis of physician challenges in contract negotiation.
  • Development of practical problem-solving strategies.

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Main Results:

  • Physicians often feel unprepared for managed care contract discussions.
  • Clear guidelines can improve physician-provider relationships.
  • Proactive problem-solving is crucial for successful managed care integration.

Conclusions:

  • Effective management of managed care is vital for physician practices.
  • Understanding and addressing physician concerns can enhance managed care effectiveness.
  • This article serves as a resource for Louisiana physicians adapting to managed care.