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Academic faculty practices: issues for viability in competitive managed care markets

R A Culbertson1

  • 1Tulane University, USA.

Journal of Health Politics, Policy and Law
|February 12, 1998
PubMed
Summary

Managed care plans show little willingness to pay extra for academic medical centers. Integration is needed for academic medical centers to thrive as funding for medical education decreases.

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Area of Science:

  • Health Policy
  • Healthcare Management
  • Academic Medicine

Background:

  • Managed care marketplace evolution in 1994.
  • Academic medical centers' role in healthcare delivery.
  • Faculty practice executives' perspectives.

Purpose of the Study:

  • Compare managed care and faculty practice executive views on critical policy issues.
  • Assess the integration of academic medical centers into managed care.
  • Evaluate the future viability of academic medical centers.

Main Methods:

  • Survey of 18 managed care executives and 24 faculty practice executives.
  • Study conducted in four major metropolitan areas (Minneapolis-St. Paul, Los Angeles, Philadelphia, Atlanta).
  • Analysis of five key policy issues concerning academic medical centers and managed care.

Main Results:

  • Limited support for financial supplements for including academic medical centers.
  • Few unique clinical competencies identified in academic medical centers.
  • Managed care organizations showed reluctance for significant restructuring to include faculty practices.
  • Concerns raised about resident physician preparedness for managed care.

Conclusions:

  • Academic medical centers face challenges in the current managed care environment.
  • Reduced traditional funding necessitates greater integration with managed care plans.
  • Integration is crucial for the continued success of academic medical centers and their educational missions.

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