Greatest challenge for compensation plans: clarity

Article Abstract:

Consultant Seth L Garber, MD, recommends that group compensation plans for physician groups should be adjusted if they are not easier to explain to others because complicated compensation plans often fail. There are factors involved that make compensation plans tricky to design, such as whether to value seniority over productivity. In addition, group revenue comes from a variety of sources and reimbursement is not always paid in a consistent way.

Beliefs, opinions and attitudes, Garber, Seth L.

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Medicaid managed care sans Blues: other Massachusetts plans ready to ease transition

Article Abstract:

The Medicaid managed care program in Massachusetts (MassHealth) is expected to survive the exit of Blue Cross Blue Shield from the program. Other HMOs will absorb the 41,000 enrollees from the Blues. MassHealth has a total enrollment of 535,000 with eight HMOs contracted for the 1997-98 enrollment year. Massachusetts Blues said it lost $22 million on its MassHealth enrollees in the past three years.

Medicaid, Blue Cross and Blue Shield Association

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Managed care prompts a lesson in cooperation

Article Abstract:

Certain managed care systems haved caused rifts between primary care physicians and specialty care physicians. Cooperation is the challenge for the next stage of managed care. The Vermont Program for Quality in Health Care and the Lovelace Clinic in New Mexico are two systems operating in 1996 that provide quality, cost-effective medicine.

HEALTH SERVICES, Health Plan Administration, Forecasts and trends, Column

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