Physician Organization In California: Crisis And Opportunity
- 1 July 2001
- journal article
- Published by Health Affairs (Project Hope) in Health Affairs
- Vol. 20 (4) , 81-96
- https://doi.org/10.1377/hlthaff.20.4.81
Abstract
Many of the 250 physician organizations that provide care to California's sixteen million health maintenance organization enrollees are in a state of crisis, squeezed between constrained revenues, rising practice costs, and consumer sentiment that favors unconstrained choice over integrated delivery. Medical groups and independent practice associations are retrenching to their core geographic areas, reducing capitation for drug benefits and hospital services, and abandoning dreams of displacing health plans. Consolidation is accelerating in some areas, as medical groups join with hospitals to extract higher payment rates from insurers and employers. The conjunction of consumerism and premium inflation creates new opportunities for organizations that truly can manage health care, but the challenges roiling California's medical groups may preclude meaningful efforts to seize the initiative.Keywords
This publication has 4 references indexed in Scilit:
- The Fall Of The House Of AHERF: The Allegheny BankruptcyHealth Affairs, 2000
- Consolidation of medical groups into physician practice management organizations.JAMA, 1998
- The Growth of Medical Groups Paid through Capitation in CaliforniaNew England Journal of Medicine, 1995
- The Independent Practice Association in Theory and PracticePublished by American Medical Association (AMA) ,1995