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Issue Date: December 15, 1998


Atlanta Physician Mines Patient Outcomes Data
Four years ago, Atlanta physician Dwana M. Bush, MD, faced a scenario common in primary care practice under the constraints of managed care: too many patients, too little time, and not enough reimbursement for the services she provided. To “bring sanity back” to her practice, Bush began experimenting with an


Simple Approach to Measuring Patient Satisfaction
Success in practice, says Neil Baum, MD, a urologist in New Orleans, starts and ends with satisfying patients. Dissatisfied patients, on the other hand, can destroy a practice. Since one dissatisfied patient usually talks about that dissatisfaction to at least 12 people—friends, relatives, co-workers, and referring physicians—such


Physicians Find Partnerships Don’t Last
Some of the large health systems that created organizations over the past several years to achieve better integration between physicians and hospitals are now unraveling those organizations.

“Right now, the overall state of integration between hospitals and physicians is shaky,” says Daniel Beckham, president of The Beckham Co., physician


New IPAs Aim to Accept More Risk
A new generation of independent practice associations is emerging—and thriving—under managed care. These IPAs are successfully functioning more like medical groups that accept risk than loose affiliations of physicians. Also, they aim to retain enough income to build information systems and to purchase administrative expertise, say proponents of


In a New Book, Medical Director Sees Tremendous Opportunities for Physicians
Q: Dr. Van Amerongen, you received an MS degree from the University of Wisconsin-Addison. How did that experience influence your career and prepare you for your current position?

A:I have been involved in administration management since I began my career. Early on, when I realized that there


Factors That Make Practice Mergers Work
Physicians across the country have found that there is strength in numbers. For this reason, one of the most popular practice management strategies today involves merging existing practices into a larger group. Last month, this column summarized some of the major findings from a case study of physician practice mergers


Market Needs Second-generation PPMCs
Criticizing physician practice management companies has become easy. This year, PPMCs have reported falling share prices and drastically lower earnings compared to previous years’ earnings, and one PPMC even filed for bankruptcy. Such events have cast a large shadow over the industry’s prospects for growth.


Indiana Cardiology Group Fosters Cooperation
This feature story looks at how a joint venture project in Indianapolis among a hospital network and more than 100 physicians from three cardiology groups improved the quality of patient care.




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