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Issue Date: June 1998

Is Podiatry Changing Under Managed Care? Expert Offers Assessment
How are podiatrists faring under managed care? Are they optimistic about their future? What new developments are happening in the field of podiatric medicine? Where are the career opportunities and how are students being trained to take advantage of them? To answer these questions, Podiatry Practice Options turned to editorial

Caution Required When Considering PPMCs Strategy Offers Advantages, But Advisers Say Beware of Pitfalls
A rising number of physicians are turning to physician practice management companies (PPMCs) to provide the capital and management expertise needed to contract effectively with managed care organizations. About 40,000 of the nation’s 530,000 practicing physicians are affiliated with a PPMC, up from about 25,000 in

Quality Commission’s Recommendations Raise a Question
The recent report of the president’s Advisory Commission on Consumer Protection and Quality in the Health Care Industry makes suggestions that may have a significant effect on how medicine is practiced in the future. The commission makes more than 50 recommendations designed to improve efforts to collect data on

HMOs Make Physicians Wait for Payments
Many physicians know that some HMOs did not do as well in 1997 as they had done in previous years. The physicians know it because they weren’t paid by health plans as quickly as they had been. In fact, reports show payments to physicians have slowed considerably in the

MDs Learn to Become Team Players
When leaders of the only two hospitals in Great Falls, Mont., merged last year, physician staffs saddled with long-simmering feuds and caught in turf wars brought their hostilities to the newly formed company. After lots of hand-wringing among directors eager to secure the financial future of the newly

As the System Changes, Health Policy Expert Sees Positives and Negatives
Q: Dr. Ginsburg, you’ve been president of the Center for Studying Health System Change for three years now. Please tell us about the center and what you’re trying to accomplish there.
A:The center’s mission is to inform private and public-sector decision makers about changes

New Terms, Definitions Issued for PSOs
In April, the Health Care Financing Administration (HCFA), the federal agency that administers Medicare, issued a new rule for provider-sponsored organizations (PSOs). A PSO is a type of health plan owned and operated by providers that may be offered to Medicare beneficiaries as part of the new Medicare+Choice

Why Physicians Give Up the Status Quo
Over the past several years, we have helped numerous physician groups nationwide assess their strategic options. Generally, these groups have decided to affiliate with a partner rather than stay independent. This trend toward affiliation is being driven by the growing internal and external challenges physicians face as a result of

Group Works Hard to Remain Independent
As more small, private practices join multispecialty groups and large provider organizations, Concord Health Associates, in Concord, Mass., remains staunchly--and successfully--independent. Constant vigilance, strong management skills, and the right mix of clinicians are keys to the success of this four-physician group located in Concord's Emerson Hospital.

Physicians, Hospitals Need New Forms of Partnership
This feature story discusses physician-hospital relationships, and how and why many of them are unsuccessful.