Key Trends Facing Private Practice Physicians in the New Year Identified

Physicians in private practice have their non-clinical work cut out for them in the year ahead. Results of the ACA changes, the launch of the federal and state health insurance market places, demanding paperwork burdens, and coming changes in coding requirements and health IT are all issues facing the physicians in 2014.

Among the key trends that seen to be bearing down on practicing physicians are:

 –  Rapidly increasing medical consolidation seen across health care systems and insurance companies alike.

–   The difficulty physicians experience while trying to negotiate favorable terms with payers because  the total number of health insurers has been decreasing for some time as a result of industry consolidation.

–   Physicians are continuing to struggle with a growing regulatory paper work burden.

In addition the recent launch of the health insurance exchanges is already driving high levels of confusion among patients, physicians and employers.

Coping with minimal education and support on the new health insurance exchanges from the government, many private practice physicians are unsure of how these new insurance policies will affect their practices. Continue reading

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Free Slide Presentation Provides Details About the National Directory of Physician Organizations Database

A free slide presentation with details about the National Directory of Physician Organizations Database is available.

Interest in physician organizations has grown in recent years due to a number of factors and they have taken on new importance and energy.

The physician organization database includes details and contact information on independent practice associations (IPAs), physician hospital organizations (PHOs) large multi-specialty medical groups, primary care networks and practice management services organizations.

The database is researched and produced the Managed care Information Center (MCIC.)

To receive your free, no obligation copy of the National Directory of Physician Organizations Database slide presentation please click on this link now: National Directory of Physician Organizations Database Free Slide Presentation

Physician Organizations – IPAs – PHOs Can Improve Care Management For Smaller Practices, New Study Finds

On average, physician practices participating in independent practice associations (IPAs) and physician hospital organizations (PHOs) provided nearly three times as many care management processes for patients with chronic conditions as nonparticipating practices did, the results of a new study found.

The difference is dramatic – 10.45 percent versus 3.85 percent, found the researchers. And, half of these processes were provided only by IPAs or PHOs.

All the recent initiatives surrounding physician practice including pay-for-performance, public reporting, and accountable care organization programs places pressure on physicians to use health information technology and organized care management processes to improve the care they provide.

The problem is physician practices that are not large may lack the resources and size to implement such processes.

The researchers said they used data from a “unique national survey of 1,164 practices with fewer than twenty physicians to provide the first information available on the extent to which IPAs and PHOs might make it possible for these smaller practices to share resources to improve care.”

Nearly a quarter of the practices participated in an IPA or a PHO that accounted for a significant proportion of their patients, the study found.

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IPA-PHO Database – The National Directory of Physician Organizations profiles more than 1,300 physician organizations. Listings include: physician hospital organizations (PHOs), independent practice associations (IPAs), multi-specialty medical groups, physician primary care networks, and management service organizations (MSOs) The National Directory of Physician Organizations

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These organizations may provide a way for small and medium-size practices to systematically improve care and participate in accountable care organizations, said the researchers.

“The data presented suggest that IPAs and PHOs may be able to provide an additional, potentially viable organizational alternative during an era of major changes in how health care is delivered and paid for,” the study authors wrote.

The research team was led by Lawrence P. Casalino, MD. The study results appeared in the August Issue of Health Affairs.

Model of Highly Coordinated Care Begun By Aetna, Baptist Memorial Health Care

Employers and their workers will get access to what is described as highly coordinated care from physicians and facilities in the Baptist Select Health Alliance, under terms of a collaborative care agreement between Aetna and Baptist Memorial Health Care,  Memphis.

Aim of the collaboration is to bring a “new health care model” to Aetna members and introduce Aetna Whole HealthSM, a commercial health care product, officials said.

The Baptist Select Health Alliance is a clinically Continue reading

Physician Turnover Increases; Competition, Pace of Turnover and Retirements Expected to Increasee

Medical groups reported an average turnover rate of 6.8 percent in 2012, according to the 8th annual Physician Retention Survey.

Likewise, there was turnover of 11.5 percent among advanced practice clinicians (APCs), which includes physician assistants and nurse practitioners, found the survey by Cejka Search and the American Medical Group Association (AMGA). Continue reading

Physicians Need To Adapt and Develop A Vision For the Future, IPA-PHO Survey Finds

The resurgence of hospitals buying physician practices, the shortage of primary care physicians, contract and reimbursement models, market consolidation and the pressure to transform primary care practices are among the key issues the leadership of the nation’s physician organizations – PHOs and IPAs are keenly concerned about.

The issues emerged from the results of the IPA -PHO Physician Organization Leadership Survey 2012 by the Managed Care Information Center (MCIC.) Continue reading

California Medical Group – IPA Merges with a Dialysis Firm – Deal Value $4.4 Billion

Healthcare Partners, Torrance, CA, one of the nation’s largest physician organizations, a medical group and IPA with 152 medical clinics and offices, has entered into an agreement to merge with DaVita, Inc. in a $4.4 billion deal.

The physician organization serves some 700,000 patients in three states, Southern California, Central Florida, and Southern Nevada.

Healthcare Partners Medical Group comprises 700 primary care and specialists and the organization’s IPA has 900 contracted primary care and 3000 specialist physicians.

DaVita, a provider of kidney care services runs dialysis clinic specialist.

Over the years the MCIC has been covering Health Partners and its growth for ongoing research for the National Directory of Physician Organizations Database.

Links: http://www.healthcarepartners.com/

http://www.healthresourcesonline.com/managed_care/23poe.htm