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Job, pay tensions increase for hospital-based physicians

Article Abstract:

Many hospital-based physicians (HBP) are working harder for less money since the resource-based relative value scale for Medicare reimbursement became effective in Jan 1992. A study of physicians at 50 to 70 hospitals east of the Mississippi River showed that HPB incomes have fallen $20,000 to $30,000, a decline of 4% to 5% since the scale came into effect. Pathologists salaries are expected to drop 20%, anesthesiologists, 27% and radiologists, 22% by 1996. Some doctors are combating this trend by merging into large practices, and others are forming physician-hospital organizations to gain negotiating power.

Author: Montague, Jim
Publisher: Health Forum
Publication Name: Hospitals & Health Networks
Subject: Health care industry
ISSN:
Year: 1993

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Wake-up call: many physicians don't become aware of managed care until it rolls into their neighborhood

Article Abstract:

Physicians are beginning to realize that they must become involved in managed health care plans if they are to prosper economically. The National Assn of Managed Care Physicians (NAMCP) has seen its membership rise from 100 members in 1990 to about 12,000 in 1993. NAMCP tries to educate doctors on how they can benefit from managed care systems. For example, a doctor might receive immediate reimbursement from a capitated system as compared to a 45 to 60-day wait on a fee-for-service basis. Educating patients is another priority for managed care systems.

Author: Montague, Jim
Publisher: Health Forum
Publication Name: Hospitals & Health Networks
Subject: Health care industry
ISSN:
Year: 1993
Finance, Health care industry, Managed care plans (Medical care)

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Specialists at the gate

Article Abstract:

Thomas Lee of Partners Communication Health Care believes that although specialists are going to lose income under management care and their services will be used differently, they will survive. He forecasts that there will be a gradual change towards capitated fees for specialists in the same way that primary care physicians are paid. He also is confident that because patients are still demanding the highest quality of care, which in many cases can only be provided by a specialist, the role of specialists will evolve rather than disappear.

Author: Montague, Jim
Publisher: Health Forum
Publication Name: Hospitals & Health Networks
Subject: Health care industry
ISSN:
Year: 1996
Medicine, Forecasts and trends, Supply and demand, Medical care utilization, Medical specialties, Lee, Thomas

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Subjects list: Economic aspects, Physicians, Medical professions, Medical care
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