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How to divest acquired physician practices.

When an integrated delivery system (IDS) determines it must divest itself of a previously acquired physician practice, it must manage the transaction with care. The IDS most likely will want to maintain a positive ongoing relationship with the physician practice, while avoiding concessions to the practice that could be construed as violations of state and Federal laws. Before proceeding, the IDS should evaluate the reasons for divesting the practice, assess legal issues involved in terminating contracts with the practice, decide how to deal with the practice's assets and office facilities, consider whether covenants not to compete should be enforced, ensure continued access to essential medical records, consider whether to incorporate a "non-disparagement" clause in the termination agreement, and determine what mutual general releases may be necessary.

Contract Services↗

Assessing primary care's contribution to academic health centers.

Operating losses are being suffered by academic and private health centers operating primary care practices. The MGMA Cost Survey: 1998 Report Based on 1997 Data reports hospital-owned primary care practices receive an average of $80,819 in financial support for operating costs per full-time equivalent physician. However, little research has been conducted on the factors contributing to the primary care deficit. Moreover, few studies exist regarding the quantification of the benefit of primary care. This presentation seeks to demonstrate (a) the factors contributing to the deficit of a primary care practice and (b) the quantification of primary care referrals to an academic health center.

Academic Medical Centers↗

Why employees resist change in medical group practice acquisitions.

Understanding employees' values and considerations is important in undergoing major organizational change. This research provides an insight of the business and financial aspects vs. the human relations aspects of acquiring a medical group practice. The five employees interviewed in this analysis provide insight as to the factors that employees consider in resisting change. Considering how employees feel through communicating will have a significant impact on efficiency, effectiveness and turnover.

Attitude of Health Personnel↗

Benchmarking physicians' practices: trends toward the millennium.

The health care industry has enjoyed--and suffered--no shortage of changes in the last year. Many are the effects of the ongoing trends internal and external to the industry and others are the seemingly spontaneous events the industry is beginning to take as "business as usual." The challenges facing health care come as much from the internal dynamics of an industry in rapid consolidation and transition as from the societal, economic, cultural, and political contexts in which it operates.

Benchmarking↗