HMO performance assessment: group practice strategies and considerations.
Provider evaluation of HMO contracts is a complicated process. The issues are best examined by separating the process into financial, administrative, marketing, and provider relationship areas. Team negotiating by the provider group is a tactic that is effective in dealing with complex risk factors, reinsurance, pharmacy, pools, carve-outs, and nonfinancial enhancements.
Friendly Hills Health Care Network, La Habra, CA.
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Barnett
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Mayer
D003284:Contract Services / Q000592:standards; D003659:Decision Making, Organizational; D005069:Evaluation Studies as Topic; D006123:Group Practice / Q000458:organization & administration*; D006279:Health Maintenance Organizations / Q000592:standards*; D008330:Management Audit / Q000379:methods*; D009937:Organizational Objectives; D010934:Planning Techniques; D014481:United States