Managed Care And Market Power: Physician Organizations In Four Markets

Physicians and other providers have responded to the spread of managed care by adapting structures and strategies to accommodate or resist the pressures exerted on them to reduce costs. In this paper we examine how physician organizations have evolved in four markets and whether their features repre...

Full description

Saved in:
Bibliographic Details
Published in:Health Affairs 2001-09, Vol.20 (5), p.187-193
Main Authors: Rosenthal, Meredith B, Landon, Bruce E, Huskamp, Haiden A
Format: Article
Language:English
Subjects:
Delivery of Health Care, Integrated - organization & administration
Economic Competition
Efficiency, Organizational
Group Practice - organization & administration
Humans
Independent Practice Associations - organization & administration
Organizational Case Studies
Provider-Sponsored Organizations - economics
Provider-Sponsored Organizations - organization & administration
United States
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Physicians and other providers have responded to the spread of managed care by adapting structures and strategies to accommodate or resist the pressures exerted on them to reduce costs. In this paper we examine how physician organizations have evolved in four markets and whether their features represent attempts to improve efficiency or resist change. The strategies adopted by physicians in terms of alignment with other providers and development of independent medical management capabilities appear to be sensitive to opportunities to reap cost savings and the competitiveness of physician, hospital, and health plan markets.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.20.5.187