PubMed Health⌕ Search

Biomedical subjects

A G Gosfield

Publications and source records attributed to A G Gosfield.

At least 19 recordsLinked to original sources
PubMed1999

How group practices can avoid managed care contracting pitfalls.

When negotiating contracts with managed care organizations, group practices should understand the potential pitfalls involved. The basic issues to be aware of are understanding the relative parties' negotiating positions, the business significance of fundamental terms, and the actual contract provisions. The most important clauses in contracts concern compensation and termination. Group practices should require that their contracts include clauses that provide the physicians with protection should utilization assumptions not be met. They also should be realistic about their ability to fulfill contract terms. In addition, contract terms should be clearly written, well-defined, and time-limited.

Contract Services↗
PubMed1998

Demonstrating oncology provider value: data, guidelines, and the law.

In the new health-care environment of value purchasing, data generated from applied clinical practice guidelines will be increasingly more important to oncology providers for both strategic and quality management reasons. This article looks at issues associated with selecting and implementing clinical practice guidelines and considers the legal issues thereof. It also offers some practical guidance for applying data in the new marketplace.

Fees, Medical↗
PubMed1991

Medicare, physicians and due process.

The physician's expectation of payment under the Medicare program is not a property right that the Constitution will protect. However, changes in certain aspects of the law do bode well for further scrutiny of carrier behavior.

Insurance Carriers↗
PubMed1991

Trends in utilization management: legal implications for health records administration.

Utilization management will continue, under whatever label or within whatever framework, to demand the attention of records administrators. Since all quality and utilization review is ultimately based on the data in the medical record, the role of health record administrators is central to this activity. As programs and requirements continue to evolve, successful health care providers will draw on educated records professionals to assist in successful management strategies.

Cost Control↗
PubMed1989

Physicians and the PROs' third scope of work.

This article describes the impact on physicians of recent developments in PRO review and provides practical guidance for physicians in dealing with those developments.

Medical Staff, Hospital↗