A new breed

A provider-sponsored health care network is part insurance function and part provider function, but no one knows exactly how it will behave. In a roundtable forum, some top leaders in health care discussed some of the conflicts in this changing delivery system. The participants included Gerald L. Mc...

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Bibliographic Details
Published in:Hospitals & Health Networks 1996-03, Vol.70 (5), p.31
Main Author: McManis, Gerald L
Format: Magazinearticle
Language:English
Subjects:
Beliefs, opinions and attitudes
Capital structure
Capitalism
Capitation
Chief executive officers
Clay, Peter E
Collaboration
Conflicts of interest
Equity
Group health insurance
Health care delivery
Health care industry
Health care networks
Health insurance
Health maintenance organizations
HMOs
Hospital administrators
Hospital-physician joint ventures
Hospitals
Howe, G Edwin
Innovations
Insurance companies
Managed care
Medical care
Medical professions
Physicians
Services
Strategic planning
Swedish, Joseph
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Summary:A provider-sponsored health care network is part insurance function and part provider function, but no one knows exactly how it will behave. In a roundtable forum, some top leaders in health care discussed some of the conflicts in this changing delivery system. The participants included Gerald L. McManis, president of McManis Associates, G. Edwin Howe, president of Aurora Health Care, and Edward C. Peddie, president of AvMed-SantaFe. Peddie said that health care providers must be careful about the concept of contingency payments in health care; many have no hold-back payments in their HMOs. Howe said that providers ought to use equity if they need it; they need to get more capital, but they must be careful that the structure does not look like a risk factor. McManis said that provider-sponsored networks blend insurance functions with health care delivery, and there are inherent conflicts in this arrangement which must be worked out.
ISSN:1068-8838
1943-5169