Source:http://linkedlifedata.com/resource/pubmed/id/10350794
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1999-4-27
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pubmed:abstractText |
This article explores the themes that advocates of integrated delivery systems (IDSs) hoped would allow them to favorably leverage the final stages of managed care evolution: revenue generation, cost control, and quality improvement. In reality, however, IDSs have been highly unsuccessful in growing market share, competing against other managed care forms, and integrating delivery systems--their raison d'être. Two key concepts in global theory, risk and episodic management, are introduced, and utilized to show how IDSs addressed these fundamental properties inappropriately. As a result, financial results and system performance have been dismal. A prognosis is given as well as suggestions for improvement through risk bifurcation, global fees, and integrated episodes of care.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
H
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pubmed:status |
MEDLINE
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pubmed:issn |
1064-5454
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
7
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
29-38
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:10350794-Contract Services,
pubmed-meshheading:10350794-Delivery of Health Care, Integrated,
pubmed-meshheading:10350794-Economic Competition,
pubmed-meshheading:10350794-Episode of Care,
pubmed-meshheading:10350794-Fee Schedules,
pubmed-meshheading:10350794-Financial Management, Hospital,
pubmed-meshheading:10350794-Health Care Sector,
pubmed-meshheading:10350794-Health Maintenance Organizations,
pubmed-meshheading:10350794-Humans,
pubmed-meshheading:10350794-Quality Assurance, Health Care,
pubmed-meshheading:10350794-Risk Sharing, Financial,
pubmed-meshheading:10350794-United States
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pubmed:year |
1999
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pubmed:articleTitle |
Integrated delivery systems: non fait accompli.
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pubmed:affiliation |
Watson Wyatt Worldwide, USA.
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pubmed:publicationType |
Journal Article
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