Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: EC:3.1.1.79 (hormone-sensitive lipase)
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New payment methods are driving the formation of integrated systems, but how do these payment plans really work? HSL researched capitation and other forms of at-risk contracting with primary care practices, specialty groups, and hospitals in both second and third generation managed care. Our story clarifies the complexities underlying capitation so leaders can identify the implications for their systems.
Health Syst Lead 1994 Mar
PMID:Understanding capitation and at-risk contracting. 1014 98

How and why did 450 South Florida physicians invest $30 million to acquire a 20 percent interest in their own health system? HSL explains Columbia's syndication strategy and why some critics fear it could lead to "cream skimming."
Health Syst Lead 1995 Mar
PMID:Columbia/HCA's physician equity strategy. 1014 Nov 60

Can two successful health systems, one Catholic and one community-owned, integrate without merging assets? HSL visits Indianapolis to find out how this unusual collaboration is bucking the odds.
Health Syst Lead 1995 Mar
PMID:St. Vincent Community Health Network: operationalizing a vision of collaboration. 1014 Nov 63

Put doctors in control of key strategic and clinical decisions? Make them part owners or give them financial performance incentives? Yes, say many experts, that's the road to success for integrated systems. Read how they're doing it and evaluate your physician integration initiatives on HSL's 10-question self-assessment.
Health Syst Lead 1995 Mar
PMID:Creating physician-driven integrated delivery systems. 1014 Nov 65

HSL takes a second look at four systems we profiled in 1994. In the fierce Chicago market, Lutheran General Health System expanded geographically by merging with a long-time ally. Similarly, New England's Hitchcock and Lahey clinics joined to become a regional powerhouse. Finally, Houston's Memorial Health System forged an alliance with the Sisters of Charity to build a network throughout southeast Texas. Read what each has accomplished and learned.
Health Syst Lead 1995 Jul
PMID:Case study. Several systems revisited. 1014

The bubble may burst soon, but right now capital financing is readily available to help physician-driven, integrated entities acquire practices, build infrastructure, and take on risk contracts. However, given the inflated prices some investors are paying, some of these deals will fail. HSL talks to capital financing experts to find out what the future may hold.
Health Syst Lead 1995 Jul
PMID:Capital financing is emerging as a critical success factor for integrated systems. 1014 1

To many of the physicians who've signed with them, physician management companies (PMCs) seem like the answer to a prayer. The practice gets needed capital for growth, professional management, and managed care contracting expertise from a partner that has the doctors' best interests at heart--or does it? HSL looks at four leading PMCs to identify the pros and cons of partnering with them.
Health Syst Lead 1995 Jul
PMID:Physician management companies: are they a good choice for doctors? 1014 3

With inpatient use plummeting and HMOs demanding deep discounts, hospitals are restructuring themselves to run more efficiently and promote health as part of integrated delivery systems. This installment of HSL's continuing series discusses major strategies hospital directors can establish to support their institutions.
Health Syst Lead
PMID:Hospitals in integrated delivery systems. 1014 94

Managed care plans that successfully deliver services to low-income populations say the first challenge can be the toughest: gaining potential enrollees' trust. Without it, they won't seek timely care or follow treatment instructions. That done, several care management strategies, including prevention and provider incentives, hold the key to keeping costs down and enrollment up, agree leaders at seven established Medicaid plans interviewed by HSL.
Health Syst Lead
PMID:Medicaid managed care. 1014 95

Rapid growth of managed care in Denver has provoked equally rapid consolidation of hospitals into four large systems with 53 percent of the market. But two large hospitals hope to retain their autonomy through an alliance and physician ties. HSL analyzes the latest trends in the mile-high city.
Health Syst Lead 1995 Nov
PMID:Can freestanding hospitals survive amidst market consolidation? Denver may tell. 1015 96


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