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Issue Date: February 15, 2000


Vendor Aims To Cut Costs, Raise Quality of GI Care
Proponents of disease management believe these programs can help reduce costs while also enhancing the quality of care by monitoring the appropriate use of diagnostic and surgical procedures. Many gastrointestinal diseases, however, such as irritable bowel syndrome (IBS) and inflammatory bowel disease, are often difficult to diagnose because they share


Study Says: Consider Patient Mix When Evaluating Cardiac Care
The question of whether specialty cardiac care is more cost-effective and results in better outcomes than care given by primary care physicians is at the heart of many discussions among physicians and managed care executives about who should care for cardiac patients.

A study published last summer in


Physicians Encouraged To Help Fight the War on Antibiotic Resistance
Physicians are aware of the growing problem of antibiotic resistance-the ability of certain bacteria to thrive despite the use of antibiotics. Nevertheless, many physicians continue to misprescribe antibiotics, due to either inadequate knowledge about proper antibiotic usage or patients' pressure for prescriptions they believe will cure their illnesses.

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Making Medicare Work: Efficiency and Low Inpatient Days Required
Is it possible to deliver quality care to Medicare patients under managed care? That's a question many physicians may be asking after watching HMOs, which once courted senior citizens, leave the Medicare business altogether, blaming deep cuts in reimbursement rates as a result of the Balanced Budget Act in


How We Identified The Top Trends for the Year
Since we started Practice Options in 1996, we have attempted to compile a list of some of the most important trends each year. When putting together our list this year, we began with a thorough review of the news stories about physician practices, health care, and managed care over the


Top Health Care Trends for 2000
Physicians will develop a much more visible presence on the Internet in the coming months and years, and the Web will allow physicians to cut their practice overhead by outsourcing many business operations currently performed in their offices, according to an informal poll of physician leaders and consultants. These experts


Anatomy of a Group Practice Dissolution
Organizational and financial crises are common in modern business-and are increasingly common in health care. From rural groups to the largest investor-owned networks, health care providers face a number of challenges: declining reimbursement from many payers, increasing competition, and growth and turnaround strategies that may not be sustainable.


Changes Mean More Income for PCPs
Medicare is continuing to make changes in the method it uses to compute physician payments. This year, half of the compensation Medicare will pay physicians will be based on the resources physicians use to provide medical services, and half will be based on historical charges. In 1998, Medicare compensation was


Application Service Providers Help Physician Groups Cut Software Costs
Q: First, what is an application service provider (ASP)?

McComb: The software industry has some remarkably convoluted definitions for what is a genuinely simple concept. A succinct definition is that an ASP hosts, deploys, and leases software applications over the Internet from a centralized network facility that it manages.<


Surgery Group Thrives Under Managed Care
Some surgeons have chosen to join multispecialty groups, believing that such practices offer payers one-stop shopping that enhances their ability to win patient volume in managed care markets. But some are frustrated by multispecialty practice, citing an imbalance in compensation structure and a multitude of specialty-specific agendas.




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