title: Wills Eye Hospital and surgical network: successful pre-positioning strategies for payment reduction and managed care pressures.
abstract: Through strategic clinical diversification, political activism, and bold expansion, Wills Eye Hospital, a teaching specialty surgical hospital, survives ravages of sudden onslaughts of managed care payment reductions while maintaining autonomy. Slack inpatient resources were re-utilized to create unique programs attractive to regional managed care organizations. Advocacy and lobbying for short-term favorable treatment from Medicare bought the Hospital valuable time and positioning. Building out a regional network of ambulatory surgical centers assures the growth and access to market required for Wills to maintain its autonomy in a managed care contracting environment.
authors.affiliation: Wills Eye Hospital, Philadelphia, USA.
authors.forename: D M
authors.initials: DM
authors.lastname: Kessler
mesh_terms: D005246:Feedback; D006754:Hospital Restructuring; D006782:Hospitals, Special / Q000458:organization & administration*; D006784:Hospitals, Teaching / Q000458:organization & administration*; D006801:Humans; D007396:Internship and Residency; D008119:Lobbying; D008329:Managed Care Programs / Q000191:economics*; D016344:Medicare Part A; D013508:Ophthalmologic Surgical Procedures / Q000191:economics; D009885:Ophthalmology / Q000193:education / Q000458:organization & administration*; D015143:Philadelphia; D012051:Reimbursement Mechanisms; D013531:Surgicenters / Q000458:organization & administration*; D014481:United States