State regulation of capitated reimbursement for physician-hospital organizations

Feightner, Robert C.
June 1997
Health Matrix: Journal of Law-Medicine;Summer97, Vol. 7 Issue 2, p301
Academic Journal
Discusses state regulation of capitated reimbursement for physician-hospital organizations (PHOs) in the United States. Evolution of PHOs in the healthcare delivery market; Nature of the risk the PHO incurs; Positions of state insurance regulators regarding PHO assumption of risk; National Association of Insurance Commissioners (NAIC) Draft Bulletin; Market trends.


Related Articles

  • Capitated contracting of integrated health provider organizations. Bazzoli, Gloria J.; Dynan, Linda // Inquiry (00469580);Winter99/2000, Vol. 36 Issue 4, p426 

    Examines the capitated contracting activity of integrated health provider organizations that link physicians and hospitals. Physician-hospital organizational models identified in American Hospital Association surveys; Expected relationships of key health maintenance organizations (HMO) and...

  • States to consider PHO curbs. Jaklevic, Mary Chris // Modern Healthcare;11/7/94, Vol. 24 Issue 45, p18 

    Reports on states' plan to regulate the growing number of risk-bearing physician-hospital organizations (PHOs). Benefit of PHOs to physicians and hospitals; States which regulate PHOs; Question on whether PHOs are subject to the Employee Retirement Income Security Act; Other regulatory issues...

  • Chicago's top physicians' organizations. Ramirez, Cecilia; Tresness, Melissa // Crain's Chicago Business;1996 Top Business Lists, Vol. 18 Issue 51, p139 

    Presents statistical information on Chicago's top physicians' organizations ranked by number of physicians.

  • PHOs young, but growing fast.  // CPA Journal;May95, Vol. 65 Issue 5, p11 

    Reports on the findings of the survey about the strategic objectives and operational characteristics of 189 physician-hospital organization (PHO) in the United States. Alliance of physicians and hospitals for sharing administrative duties and improving relationship with payers; Determinants of...

  • Developing a super PHO. Jennings, Marian C. // hfm (Healthcare Financial Management);Sep95, Vol. 49 Issue 9, p24 

    Discusses the development of a super physician-hospital organization (PHO) in the United States. Definition of a PHO; Reasons for forming a PHO; Factors for the success of a PHO.

  • Physician-hospital organizations go on the offensive to... Edlin, Mari // Managed Healthcare;Jul98, Vol. 8 Issue 7, p50 

    Focuses on the physician-hospital organizations (PHO). Reactions to the PHO; Reason behind the development of PHO; How PHOs are funded.

  • Pa. proposes regulations to license risk-bearing PHOs. Pallarito, Karen // Modern Healthcare;2/6/95, Vol. 25 Issue 6, p24 

    Reports on the proposed regulations by Pennsylvania to license risk-bearing physician-hospital organizations (PHO). Remarks by Stephen Male, director of Pennsylvania health department's healthcare financing bureau; Survey by Ernst & Young on PHOs; Regulations being considered in Pennsylvania. ...

  • Survey: PHOs a popular managed-care strategy. Jaklevic, Mary Chris // Modern Healthcare;2/5/96, Vol. 26 Issue 6, p3 

    Reports on the use of physician-hospital organizations (PHO) to package services for managed care in the United States. Increase in the portion of hospitals that sponsor PHOs in 1995.

  • Buying doc practices often leads to red ink. Jaklevic, Mary Chris // Modern Healthcare;6/03/96, Vol. 26 Issue 23, p39 

    Looks at the challenges in the management of physician practices by hospitals. Hospital administrators' lack of awareness of the cultural and operation disparities between hospitals and physician practices; Financial losses in hospitals which have bought up physician practices; Strategies in...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics