Biomedical subjects

J H St George

Publications and source records attributed to J H St George.

3 recordsLinked to original sources

PubMed1993

EDI experts realistic and optimistic.

Recently, Healthcare Financial Management contacted five EDI experts to discuss a variety of issues related to EDI and the healthcare industry. Their answers to our questions, presented below, are both optimistic and realistic. Our experts feel that EDI can transform the healthcare industry into a model of efficiency, but their enthusiasm is tempered by the realization that politics, bureaucracy, budgets, and resistance to change can take a toll on even the most ardent of EDI supporters. Nevertheless, they believe that EDI can and will work. In the pages that follow, they discuss why, how, and when.

Attitude of Health Personnel↗

PubMed1990

Risk sharing: health care's latest challenge.

With pressure building to reduce healthcare costs, relations between providers and insurers in the years ahead increasingly will focus on risk sharing and utilization controls. Fixed price agreements and managed care plans are two approaches expected to come into wider use. To cope with coming utilization reviews and efforts to manage outpatient care, hospitals will need information systems allowing them to evaluate patient mixes and service intensities.

Financial Management↗

PubMed1990

How to maintain control over the work of accounts receivable service firms.

Healthcare organizations that enter agreements with accounts receivable consulting firms should insist on various contractual safeguards. These controls allow a hospital to reject any recommendation without incurring extra costs; approve the format of bills sent to potential payers and review copies of bills later produced; insist that consultants identify themselves to payers as hospital representatives, not employees; and protect their interests in other ways.

Accounting↗