Today's physicians are being asked to do too much

Article Abstract:

Physicians that attempt to get involved in the management of health maintenance organizations instead become increasingly dependent on non-professional staff. This is because the problems encountered are often more complex and time consuming than expected. Physicians should concentrate on their areas of expertise: quality of care and utilization issues. Competent administrators working together with conscientious physicians are critical to the success of health maintenance organizations.

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Delegates want discharge decisions left to physicians

Article Abstract:

American Medical Association (AMA) delegates approved a policy at a June 1996 meeting that calls for medical considerations to be the dominant factor in deciding when to discharge patients from a hospital or other facility. The policy is a response to the length-of-stay requirements that have been implemented by insurers, managed care groups and even government agencies. The policy encourages doctors to share with insurers the evidence on which they base discharge decisions.

HEALTH SERVICES, Professional Organizations, Health Maintenance Organizations, HMO Medical Centers, Physicians & Surgeons, Offices of Physicians (except Mental Health Specialists), Medical Associations, Standards, Medical care, Social policy, Health facilities, American Medical Association, Hospital utilization, Hospital stays, Hospital admission and discharge, Medical societies

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Rewarding quality: HMOs paying doctors for pleasing patients, meeting standards

Article Abstract:

Health maintenance organizations (HMOs) are rewarding primary care physicians with financial incentives for compliance with practice standards and good interactions with patients. Physicians can earn a bonus worth as much as 20% of their annual income by scoring well on patient assessments and chart reviews. Some HMOs may also begin offering incentives to specialists after they establish rating criteria.

Hospital and medical service plans

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