title: The evolution of hospitalist programs.
abstract: In just a few years, hospitalist programs have evolved to a third generation, affording key participants an opportunity to reduce inpatient healthcare costs. Because the method of inpatient payment determines the economic winners and losers in the program, the key participants will benefit from the implementation of a program that includes shared incentives. Even though reduced payments for inpatient services might be offset by reduced variable costs for hospitals and increased office revenues for primary care physicians, a hospitalist program is more likely to achieve sustained success if it is structured so that financial rewards are distributed fairly among the participants.
authors.affiliation: New Health Management, Inc., Cleveland, Ohio, USA. cthardy3@aol.com
authors.forename: T
authors.initials: T
authors.lastname: Hardy
authors.forename: G
authors.initials: G
authors.lastname: Levy
authors.forename: T
authors.initials: T
authors.lastname: Murphy
mesh_terms: D003284:Contract Services / Q000191:economics; D017046:Cost Savings; D005377:Financial Management, Hospital / Q000379:methods*; D020445:Hospitalists / Q000191:economics* / Q000458:organization & administration / Q000639:trends; D015271:Insurance Pools; D007902:Length of Stay / Q000191:economics; D017146:Models, Organizational; D017008:Negotiating; D011320:Primary Health Care / Q000191:economics; D012052:Reimbursement, Incentive; D014481:United States