title: The case for an integrated independent physician association.
abstract: The State of Georgia has recognized the importance of physicians taking a strong leadership role in managed care with recent legislation allowing physicians to own and present HMO plans directly to employers. Revised antitrust guidelines provide opportunities for physician organizations to take on risk to compete in the HMO/managed care market. Physicians in an IPA have the same ability to access and implement management and information systems as hospitals. Imagine for a moment, attending a performance in the theater, when suddenly an actor rushes on state and shouts: "Is there a hospital administrator in the house?". No one doubts who the central figure in health care should be, if physicians will merely seize the day. We are the best spokespersons on our patient's behalf. With a belief in ourselves and the energy devoted to the integrated IPA format, we are best qualified to manage the continuing evolution of health care delivery in this country.
authors.affiliation: ENT Center of Central Georgia, Macon 31201, USA.
authors.forename: S B
authors.initials: SB
authors.lastname: Peppard
mesh_terms: D003659:Decision Making, Organizational; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D005376:Financial Management; D005845:Georgia; D006801:Humans; D007193:Independent Practice Associations / Q000458:organization & administration*; D017146:Models, Organizational; D011785:Quality Assurance, Health Care