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Biomedical subjects

J J Unland

Publications and source records attributed to J J Unland.

11 recordsLinked to original sources
PubMed1998

The range of provider/insurer configurations.

In the past few years, health care providers have begun to seriously explore the possibilities of forming various kinds of provider/insurer entities. As most people in the health care industry now know, various states, as well as the federal government, have been working on one form or another of legislation or regulations that would permit health care providers to either (1) become insurers in their own right or (2) at least be able to contract more directly with consumers by taking on "full-risk" contracts from health maintenance organizations and insurance companies while, commensurably, assuming additional "delegated authorities" with respect to such contracts with minimal interference from state insurance departments.

Aged↗
PubMed1996

Physician-hospital organizations: the "training wheels" of tomorrow's provider-sponsored networks?

The formation of regional physician-hospital organizations will be the next step in the evolution of managed care. Regional PHOs will have advantage over single-hospital PHOs by covering a wider population and geographic area, offering greater cost-effectiveness, and being able to contract as a unified provider. This, in turn, will set the stage for the next step in the process: the development of provider-sponsored networks.

Community Networks↗
PubMed1996

The emergence of providers as health insurers.

The traditional delineations between providers of health care and insurers are becoming blurred. The author describes the trend toward creation of provider/insurers, the current miasma of regulatory and legislative activities surrounding the issue, and the market and operational forces also at play.

Attitude of Health Personnel↗
PubMed1996

Medical group practice formation.

The vast majority of physicians remain in small, inefficient practices. True group practice formation has been slow to develop, leaving physicians vulnerable to problems as the rest of the health care industry moves toward modernization and consolidation. The idea of integrated health care systems consisting of medical practices working with hospitals or hospital systems is an unattainable dream as long as the underlying medical practices themselves are years behind in evolution. The author describes the many aspects of group practice formation, and why physicians must move quickly toward their development.

Delivery of Health Care, Integrated↗
PubMed1995

The evolution of physician-directed managed care.

The health care industry is evolving. In the near term, POs will become the state of the art in physician-directed managed care. Eventually, POs will merge into fully integrated group practices. From there, regional POs and group practices will develop their own insurance products. But because these organizations will be dominated by physicians who wish to practice medicine, rather than sell insurance, money will be made by appropriately managing risk and providing high-quality care. In time, physicians will take control and "manage" managed care, as they are the only ones--not administrators, executives, or other business people--who are in a position to fundamentally revise the way medicine is practiced.

Capital Financing↗