Regional approach for groups gaining in Wis

Article Abstract:

Large regional medical groups dominate practice in Wisconsin, with 5,000 of the state's 9000 physicians in groups of at least 25 doctors. A 1980 state law encouraged formation of groups by mandating managed care for state employees' health care providers. The largest groups include Dean Medical Center in the southern region, with about 250 physicians in 23 locations; Marshfield Clinic with 380 physicians and 21 clinics in north and central areas; Gundersen Clinic in the west; and Physicians Plus in the Madison area.

Health aspects, Location, Group medical practice, Wisconsin

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Doctors opt for employment, larger groups: managed care driving trend to consolidation

Article Abstract:

The proliferation of managed care and increasing competition for health care dollars have accelerated the rate of physician practice consolidation. The trend has been further accelerated by an influx of medical residents into managed care programs. The percentage of physicians involved with managed care contracts increased from 56% in 1986 to 83% in 1995, according to a report issued by the Council on Medical Service. American Medical Association senior social scientist Phillip Kletke expects the trend to continue.

Direct Health and Medical Insurance Carriers, Health Plan Administration, Practice, Physicians, Medical professions, Influence, Health insurance industry

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Antitrust verdict threatens groups

Article Abstract:

The Marshfield Clinic, a group of 430 physicians in northern Wisconsin, is appealing the antitrust damages award of $48.6 million to Blue Cross & Blue Shield of Wisconsin and its health maintenance organization, Compcare. Marshfield, which operates 23 clinics in small towns that may have only one doctor, cooperated with the Blues in ownership of the HMO until 1986, when the insurance company withdrew because of losses. Precedents set by this case may determine the rights of physician groups in the future.

Accident & Health Insurance, Insurance Carriers, Health Maintenance Organizations, HMO Medical Centers, Medical Service and Health Insurance, Cases, Marshfield Clinic, Blue Cross and Blue Shield United of Wisconsin

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