Operation start-up

Article Abstract:

Involving physicians in the development process has made MediGold a rapid success, gaining the provider-sponsored health plan 5,000 members in six months. MediGold is an HMO developed by Mount Carmel Health System as one of 19 Medicare Choices demonstration projects. Administrators collaborated with doctors in creating networks, a bonus system and a benefits package. Doctors also helped set management policies such as practice guidelines and cost controls. Physicians helped market the new plan by sending affiliation announcements to their patients.

Author: Calvaruso, Joseph T.
Health insurance industry, Mount Carmel West

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The physicians who would

Article Abstract:

Geisinger Health System, in Danville, PA, has grown to include two hospitals and a health maintenance organization, the Geisinger Health Plan, which services 165,000 customers over 25 counties in the rural US. Two hospitals were merged to form one new facility, and a network of physician practices was formed with employee physicians. Administrative power is shared between administrators and physicians.

Author: Ackerman, F. Kenneth Jr.
Column, Geisinger Medical Center (Danville, Pennsylvania)

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Authors' response to commentaries

Article Abstract:

The governance of integrated health care systems is viewed from two perspectives. One is more reality-based, while the other focuses on more ideal conditions of governance and are thus more prescriptive. Both perspectives, however, underscore the importance of coordination among levels of governance.

Author: Alexander, Jeffrey A., Zuckerman, Howard S., Pointer, Dennis D.
Analysis, Corporate governance

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Subjects list: Management, Hospitals, Health maintenance organizations, Hospital administration
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