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Biomedical subjects

M C Jennings

Publications and source records attributed to M C Jennings.

At least 19 recordsLinked to original sources

Self-assembly of rings, catenanes, and a doubly braided catenane containing gold(I): the hinge-group effect in diacetylide ligands.

Reaction of the flexible dialkynyldigold(I) precursors X(4-C6H4OCH2C-CAu)2 with 1,4-bis(diphenylphosphino)butane gave complexes of formula [[[mu-X(4-C6H4OCH2CCAu)2[mu-(Ph2PCH2CH2CH2CH2PPh2)]]n]. The complexes exist as 25-membered ring compounds with n = 1 when X = O or S, as [2]catenanes with n = 2 when X = CH2 or CMe2, and as a unique doubly braided [2]catenane, containing interlocked 50-membered rings with n = 4 when X = cyclohexylidene. These compounds form easily and selectively by self-assembly; reasons for the selectivity are also discussed.

Journal Article↗

Beyond HMOs: trends in employer direct contracting.

The California Public Employees' Retirement System (CalPERS) is exploring the possibility of contracting directly with providers to furnish healthcare services to its members. This move may signal a trend among employers to pursue direct-contracting opportunities. The direct-contracting experience of Minnesota's Buyers Health Care Action Group (BHCAG) high-lights how such arrangements may be structured. Direct contracting may not yet exist in every market. Nonetheless, providers that proactively position themselves to meet employer expectations should be able to strengthen their market position and gain leverage in contracting with managed care organizations.

California↗

Dispelling managed care myths.

A number of ideas regarding managed care and capitation are commonly accepted as truths. In reality, however, these ideas are half-truths or myths. Healthcare providers need to challenge some of these myths in order to respond proactively to change. Some of the traditional thinking about managed care that needs realignment includes the belief that PHOs essentially are transitional vehicles and not viable, long-term solutions; that the incentives under fee-for-service payment conflict totally with the incentives under capitation; that under global capitation, the best method for paying primary care physicians is capitation and the best way to pay specialists is discounted fee-for-service; and that small, exclusive physician panels are the most successful for managed care.

Capitation Fee↗

The role of managed care in integrated delivery networks.

Health care reform, especially if as anticipated via a capitated payment system, will lead providers to integrate the services they provide to the community with those of other organizations. Vertical integration strategies, such as the formation of physician-hospital organizations, and horizontal integration through alliances and holding companies, are the primary vehicles that hospitals and other providers will use to establish integrated networks. By including insurers and primary care physicians in the network and developing information systems to support the delivery of high quality, cost-effective services, the networks can offer a full continuum of care and minimize service duplication.

Comprehensive Health Care↗