The effect of managed care on nuclear cardiology
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Abstract
The rapid growth of managed care organizations as a dominant structural model for the delivery of health and medical care has major implications for the nuclear cardiologist. Both governmental and private sector trends portend increased focus on cost containment strategies that may disrupt patient access to cardiovascular specialists and alter traditional physician referral patterns and practices. Issues include who will deliver services, where these services are made available, and how procedures and protocols are developed. The nuclear cardiologist will need to consider approaches to maintain access to patients, clinical autonomy, access to capital, as well as financial and legal risks when positioning a practice to thrive in the future.
Key Words
managed care practice management access cost containmentPreview
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References
- 1.American College of Cardiology. Managed care primer. Bethesda, Maryland: 1994:6–7.Google Scholar
- 2.Health Insurance Association of America. HIAA, employer survey. Washington, DC, 1991.Google Scholar
- 3.Foster Higgins. Employer health benefit cost dropped in 1994: Highlights—monthly summary of benefit news. New York: 1995:1–2.Google Scholar
- 4.Marion Merrill Dow. Managed care digest/update edtion 1994. Kansas City, Missouri: 1994.Google Scholar
- 5.Marion Merrill Dow Managed care digest/PPO edition 1994. Kansas City, Missouri: 1994.Google Scholar
- 6.InterStudy. Competitive edge: biannual report of the managed health care industry, vol 3, no 2. Minneapolis: 1994.Google Scholar
- 7.DeMaria AN, Engle MA, Harrison DC, et al. Managed care involvement by cardiovascular specialists: prevalence, attitudes and influence on practice. J Am Coll Cardiol 1994;23:1245–53.PubMedCrossRefGoogle Scholar
- 8.InterStudy. Competitive edge: biannual report of the managed health care industry, vol 4, no 1. Minneapolis: 1995.Google Scholar
- 9.Marion Merrell Dow. Managed care digest update edition 1994. Kansas City, Missouri: 1994. Marion Merrell Dow. Managed care digest (HMO and update editions 1989 through 1994).Google Scholar
- 10.Health Care Financing Administration. Bethesda, Maryland: US Department of Health and Human Services, 1995.Google Scholar
- 11.Kassirer JP. Managed care and the mortality of the market-place. N Engl J Med 1995;333:50–2.PubMedCrossRefGoogle Scholar
- 12.Council on Ethical and Judicial Affairs, American Medical Association. Ethical issues in managed care. JAMA 1995;273:330–5.CrossRefGoogle Scholar
- 13.Chirba-Martin MA, Brennan TA. The critical role of ERISA in state health reform. Health Affairs Spring (II) 1994:143–56.Google Scholar