title: The organizational structure of medical group practices in a managed care environment.
abstract: This article analyzes the organizational structures of 155 medical group practices providing services in the highly competitive managed care environment in the upper midwest. The structure of the group practices and the methods of physicians' payment are analyzed in terms of the proportion of revenue obtained from financial risk-sharing managed care payment systems and the length of time involved with those systems.
authors.affiliation: Division of Health Services Research and Policy, University of Minnesota, Minneapolis, USA.
authors.forename: J E
authors.initials: JE
authors.lastname: Kralewski
authors.forename: E C
authors.initials: EC
authors.lastname: Rich
authors.forename: T
authors.initials: T
authors.lastname: Bernhardt
authors.forename: B
authors.initials: B
authors.lastname: Dowd
authors.forename: R
authors.initials: R
authors.lastname: Feldman
authors.forename: C
authors.initials: C
authors.lastname: Johnson
mesh_terms: D054598:Blue Cross Blue Shield Insurance Plans / Q000191:economics / Q000458:organization & administration; D002204:Capitation Fee; D003362:Cost-Benefit Analysis; D004465:Economic Competition; D017598:Efficiency, Organizational; D018588:Fee-for-Service Plans; D006123:Group Practice / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D007256:Information Systems; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration*; D008910:Minnesota; D017410:Practice Guidelines as Topic; D012017:Referral and Consultation / Q000191:economics / Q000458:organization & administration; D012051:Reimbursement Mechanisms; D012308:Risk Management / Q000191:economics*