Biomedical subjects
Publications and source records attributed to B B Fox.
The market for managed mental health care is growing and payer dissatisfaction with existing arrangements is creating significant opportunities for providers who can obtain good therapeutic outcomes in the least restrictive/expensive way. This article describes what a hospital may offer to the market and the special considerations involved.
This article, the first of two, explains how health-care providers can increase their market share and profit margins and improve quality of care by marketing utilization review services. Selling these services to employers or other potential buyers requires reliable data and an understanding of the needs of various players in the marketplace.
This article, the second of two, describes the role that management and planners need to play in fostering their hospitals' development of effective utilization review programs. Among the major issues that must be addressed are whether the organization's culture is ready for utilization management and whether incentives are in place to make the system work.
Properly structured, physician-hospital organizations can be a viable pro-competitive strategy for delivering the high-quality, affordable services payers are demanding while, at the same time, increasing participating providers' market share.