Academic centers - and GME - face growing market pressure

Article Abstract:

Graduate medical education and academic medical centers are being increasingly confronted by financial difficulties stemming from Medicare reform, excess supply of subspecialist physicians, managed care, and department bureaucracies. The operating margins of academic medical centers, which at one time were approx 5%, have dropped to 2% in 1995 with some centers just breaking even or losing money. Duke University's Medical Center has taken steps to cope with the situation by reducing the number of residencies from 500 to 350 by the year 2000.

Teaching Hospitals, General Medical and Surgical Hospitals, General medical & surgical hospitals, University Medical Centers, Management, Finance, Hospitals, Teaching, University hospitals, Graduate medical education, Duke University Hospital (Durham, North Carolina)

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Medicare carrier efficiency ratings are down in 1992

Article Abstract:

Claims processing scores for Medicaid carriers were low in 1992, with four plans even scoring below 80. The worst was Blue Cross and Blue Shield of Maryland, with an abysmal 65. Maryland plan administrators said that their poor performance was caused by the switch to a new computer system and the institution of the resource-based relative value scale. Other plans with low scores cited similar problems. The incidence of lost or delayed claims was so pervasive that some primary care doctors were forced to borrow money.

Hospital and medical service plans, Admin. of social & manpower programs, Accident and health insurance, Standards, Insurance claims adjustment, Health insurance industry, Medicare, Blue Cross and Blue Shield of Maryland Inc.

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Clinton pick brings clout, administrative skill to HHS

Article Abstract:

President-elect Clinton has chosen Donna E. Shalala to head the US Department of Health and Human Services. Shalala is chancellor of the University of Wisconsin at Madison. Formerly, she was president of New York City's Hunter College and Assistant Secretary of Housing and Urban Development during the Carter administration. Shalala is known for her direct management style and has a history of running large bureaucracies.

Admin. of public health programs, Officials and employees, Appointments, resignations and dismissals, United States. Department of Health and Human Services, Shalala, Donna E.

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