decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Managed Care Delivery Systems - An Overview / What is an Integrated Health Care System
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Article Overview
This article explains the emergence of integrated health care systems and the broad organizational relationships forming between physicians, hospitals, and health insurance plans. It discusses why these models are developing, how affiliation can change care delivery and business structure, and why managed care arrangements matter to health care organizations and compliance-minded readers.
Why This Topic Matters
Understanding integrated delivery systems helps readers recognize major managed care structures, shifting physician-hospital relationships, and the business and regulatory pressures influencing modern health care organization.
What You Will Learn
- Why integrated health care systems developed
- How physician-hospital affiliations can vary in structure
- What broader advantages are associated with closer integration
- Why managed care organizations are relevant to health care delivery models
- How market and competition pressures influence system design
Who Should Read This
- Medical coders
- Health care administrators
- Practice managers
- Compliance professionals
- Physician groups
- Hospital leadership
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