House crafts compromise on resource-based practice expenses

Article Abstract:

American Medical Association (AMA) delegates approved a policy that urges the federal government to take an extra year to develop new guidelines for reimbursing physicians under Medicare. Primary care physicians want the the reimbursement system implemented as scheduled in January 1998, because they feel the present system underpays them for overhead expenses. Specialty physicians want to delay implementation to ensure the new system is based on accurate information. The AMA policy calls for implementing the system in January 1999.

Professional Organizations, Administration of Public Health Programs, Health Care Financing Admin, Medical Associations, Medicare A, Planning, Political activity, Physicians, Medical professions, American Medical Association, Medicare, United States. Centers for Medicare and Medicaid Services, Prospective payment systems (Medical care), Medical societies

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Overhead expenses are on the rise

Article Abstract:

A Medical Group Management Association study indicates that most group practices' non-physician overhead expenses exceed 50% of net revenues as of Mar 1992. Only family practice had non-physician expenses that exceeded half of net revenues in 1985. Overhead ratios and increased managed care contracts account for most of the change. Physicians' salaries have not declined; revenue bases expanded enough to compensate for increased overhead.

Finance

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Finding gold in HMOs: the Springer Clinic, a multispecialty group in Tulsa, Okla., has strategies to manage managed care

Article Abstract:

An aggressive HMO strategy has helped turn Tulsa, OK, group medical practice Springer Clinic into a managed-care market leader. Tulsa's first large HMO was a partnership involving Springer and PacifiCare. In 1997, HMOs constitute approximately 20% of the local market, and capitated contracts account for 45% of Springer's revenues. Springer has two Medicare risk contracts and deals with four commercial HMOs.

HEALTH SERVICES, Health Maintenance Organizations, HMO Medical Centers, Managed care plans (Medical care), Company Profile, Springer Clinic

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