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Managed care seizes the attention of dentistry.

Throughout the health care reform debates of 1993 and 1994, the dental profession steadfastly maintained that dentistry was distinct from medicine and that the proposed solutions to the problems in medicine should not be applied to dentistry. The American Dental Association (ADA) supports the position that dental care delivery and financing systems successfully promote access, quality, and cost-containment. Important distinctions exist between the delivery and financing systems of dentistry and medicine. Dentistry is a cottage industry of solo practitioners financed overwhelmingly by private funds. The driving forces behind the growth of managed dental care are the business conditions in dentistry and employers' cost-containment concerns. Dentists should be informed about managed care, which is certain to grow and become an important part of the dental delivery and financing systems but is unlikely to achieve the dominance that it has in medicine.

American Dental Association↗

Caveats for physicians in the financing of practice networks.

There are advantages for physicians to affiliate in networks with other practitioners in order to contract with third party payers and to achieve economies of scale. However, doctors must assure themselves of the viability of the organization they may be joining in terms of long-term financial stability and managerial expertise.

Capital Financing↗

Practice options.

If Laredo pediatric allergist Gladys Keene, MD, and her husband, otolaryngologist Roger Keene, MD, had their druthers, they would maintain the solo practices they have had for the past 20 years. But they know changes in the form of managed care are coming to the border city, and medicine as they know it will never be the same again. Preferred provider organizations have already captured about 20% of the Laredo market in the past 2 to 3 years, and health maintenance organizations (HMOs) and capitation are not far behind.

Consultants↗

Top stocks.

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Data Collection↗

Is dentistry destined to follow medicine in managed care?

Our professional calling is to assist our patients in reaching and maintaining a state of good oral health. If managed care assists in that effort, that's good. However, if we can identify and eliminate poor dental HMOs and identify the quality plans, dentistry will begin to realize that keeping people well can be as financially and professionally rewarding as treating disease. Is dentistry headed down the same path as medicine? Unfortunately, the answer is not clear. What is clear is that managed care is here and will impact significantly on dentistry, both positively and negatively. An opportunity exists to mold managed care into a form that is acceptable to dentists and improve the oral health of Americans on a cost-effective basis. However, we as dentists must act, and react, in a rational and logical manner if we are to have a voice in shaping the future of dental benefits and how they will be provided.

Economic Competition↗

Shocked.

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Attitude of Health Personnel↗

Capital: who's got it? How to get it!

Cruel. Fickle. Demanding. While hospitals and HMOs face tougher scrutiny by credit-rating agencies, Wall Street has slowed the flow of capital to practice management and assisted-living start-ups. Meanwhile, some investor-owned hospitals now emphasize debt over equity. In this special report, we examine the capital markets sector by sector.

Capital Financing↗