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Physicians Still Searching for Financial Benefits From HMOs.


Business, Health & Medical Editors

NEW YORK New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
 and IRVING Irving, city (1990 pop. 155,037), Dallas co., N Tex., a suburb of Dallas; inc. as a city 1952. Building supplies, chemicals, electronic equipment, and airplane parts are manufactured in Irving. , Texas--(BUSINESS WIRE)--March 22, 2000

58 Percent of Doctors Report Negative Financial Experience

with Health Plans, According to according to
prep.
1. As stated or indicated by; on the authority of: according to historians.

2. In keeping with: according to instructions.

3.
 Deloitte & Touche/VHA Inc.

Annual Trends Report

Despite managed care's intention that increased marketshare will off-set discounts in reimbursement Reimbursement

Payment made to someone for out-of-pocket expenses has incurred.
 and increases in administration costs, the 15th

annual Health Care 2000 report reveals that most physicians fail to see an improvement in their financial performance when contracting with HMOs. According to the Deloitte & Touche and VHA VHA Veterans Health Administration
VHA Variable Housing Allowance
VHA Villages Homeowners Association
VHA Voluntary Hospitals Association
VHA Virtual Home Agent
VHA Very High Altitude
VHA Vapor Hazard Area
VHA Vermont Holstein-Friesian Association
 Inc. Health Care 2000 report released today, which provides an in-depth in-depth
adj.
Detailed; thorough: an in-depth study.


in-depth
Adjective

detailed or thorough: an in-depth analysis

 examination of health care industry trends over the last year, 58 percent of physician practices feel that managed care has negatively impacted their overall financial success. The report, however, identifies that one-fourth (25 percent) have found managed care to deliver a positive financial experience.

"The lack of financial success by physicians dealing with health plans is symptomatic symptomatic /symp·to·mat·ic/ (simp?to-mat´ik)
1. pertaining to or of the nature of a symptom.

2. indicative (of a particular disease or disorder).

3.
 of an industry as a whole that is still unable to manage costs. And we are finding that the price of health care for providers and buyers is expected to continue to rise substantially over the next several years," said Merlin Merlin, in Arthurian legend, magician, seer, and teacher at the court of King Vortigern and later at the court of King Arthur. He was a bard and culture hero in early Celtic folklore. In Arthurian legend he is famous as a magician and as the counselor of King Arthur.  Olson Olson may refer to:
  • Olson (constructor), a former racing car constructor
  • Olson Software
  • Olson database, also known as zoneinfo database
  • Sigurd Olson Environmental Institute
  • Olson (surname), people with the given name Olson
, principal, Deloitte & Touche, one of the nation's leading professional services (job) professional services - A department of a supplier providing consultancy and programming manpower for the supplier's products.  firms. "I believe one way for health care organizations to address these cost pressures is to adopt new business models to run their operations more efficiently and respond more effectively to patient needs."

"We've we've  

Contraction of we have.

we've have
 observed that payors and providers are now shifting towards new consumer-centric business models to combat rising costs and increase revenue flow," stated Daniel Daniel, book of the Bible
Daniel, book of the Bible. It combines "court" tales, perhaps originating from the 6th cent. B.C., and a series of apocalyptic visions arising from the time of the Maccabean emergency (167–164 B.C.
 Bourque, group senior vice president, VHA, a nationwide network of community-owned health care organizations and their affiliated physicians. "While this may increase near-term costs for participants, it is likely that patients will be willing to pay for these additional expenses in exchange for a broader selection of physicians, better access to information and greater control over their health care decisions."

While the effect of managed care on physicians' financial success is one of the key findings highlighted in Health Care 2000, the 170-page report also explores the total health care landscape through more than 180 charts and graphs, and examines other critical industry trends such as:

-- Limited Funds Hinder hin·der 1  
v. hin·dered, hin·der·ing, hin·ders

v.tr.
1. To be or get in the way of.

2. To obstruct or delay the progress of.

v.intr.
 Technological Advancements

Advances in technology hold more promise for improving health

care than any other force in the industry, according to the

Deloitte & Touche and VHA report. This is due to technology's

ability to enhance overall processes, reduce costs, and increase

the rate of information transfer between industry players. Health

Care 2000, however, indicates that 69 percent of health care

organizations cite inadequate financial resources as the most

common obstacle to implementing information technology solutions.

In addition, 66 percent of health care organizations reported

that overworked staff and limited staff size contributed to their

inability to incorporate the use of many IT solutions into their

operations. Other obstacles included the lack of staff expertise

and the lack of employee training or knowledge.

-- Medical Errors Can Be Greatly Reduced by Pharmacist pharmacist /phar·ma·cist/ (fahr´mah-sist) one who is licensed to prepare and sell or dispense drugs and compounds, and to make up prescriptions.

phar·ma·cist
n.
 Participation

An estimated one million people are injured in·jure  
tr.v. in·jured, in·jur·ing, in·jures
1. To cause physical harm to; hurt.

2. To cause damage to; impair.

3.
 by errors during

hospital treatment annually and 120,000 people die as a result,

according to the report. Given these startling star·tle  
v. star·tled, star·tling, star·tles

v.tr.
1. To cause to make a quick involuntary movement or start.

2. To alarm, frighten, or surprise suddenly. See Synonyms at frighten.
 figures, industry

members have been searching for ways to reduce medical errors.

For example, research included in Health Care 2000 demonstrates

that if a pharmacist devoted 50 percent of his/her time to

accompany physicians on their patient rounds, there would be a 66

percent reduction in medication errors medication error Malpractice An error in the type of medication administered or dosage. See Adverse effect, Error.  - with cost savings

estimated at an average $270,000 per hospital per year. This is a

direct result of the pharmacist correcting incomplete or

inappropriate drug orders and providing information on doses,

interactions, indications, and drug alternatives to physicians

and nursing staff.

"The issue of reducing medical errors has been a heated

political topic, and will continue to be controversial in the

next several years," remarked Bourque. "We believe that the key

to decreasing these errors will be to properly identify them,

analyze the causes, and then change the system and/or processes

to prevent them from happening in the future."

-- Employers' Health Care Plan Decisions Driven By Price

Despite recent consumer demands for better quality of service,

Health Care 2000 indicates that price continues to drive large

employers' health plan decisions. The report reveals that 93

percent of large employers are more likely to choose plans based

on cost than any other factor, including quality issues such as

physician reputation and employee satisfaction rates.

Although quality issues overall remain secondary to cost, the

percentage of large employers who considered detailed quality

reporting to be an important health plan attribute increased from

37 percent to nearly 60 percent since 1996.

"As health care costs continue to rise and as an emphasis is

placed on bottom-line results, it is no surprise that pricing

still remains the highest consideration for most employers

selecting health plans. The issue is then further complicated by

the fact that there is currently no universal definition of

quality in the health care industry," said Olson. "Regardless, I

believe there needs to be a better balance of delivering high

quality care, while maintaining reasonable costs for patients,

employers, and providers."

-- Health Care Costs Continue to Rise for Providers and Buyers

According to the report by Deloitte & Touche and VHA, costs for

both providers and buyers are anticipated to continue to rise in

the near future. It is expected that higher costs for providers

will be largely attributed to spending for information

technology, clinical technology, and labor. Additionally, costs

for buyers are expected to increase because of factors such as

the aging and growing population, medical technology, and drugs.

"With health care costs anticipated to be on the rise, it will be

necessary for industry players to find new ways of either

off-setting the expenses or providing a better value proposition

to make the increased prices worth paying for by consumers," said

Olson.

About Health Care 2000: A Strategic Assessment of the Health Care Environment

Health Care 2000, formerly called the Environmental Assessment study, has been widely acclaimed ac·claim  
v. ac·claimed, ac·claim·ing, ac·claims

v.tr.
1. To praise enthusiastically and often publicly; applaud. See Synonyms at praise.

2.
 as one of the most comprehensive annual studies in the health care industry. The 170-page report offers a series of conclusions about the present and observations about the future that are important for health care organizations to understand as they develop strategic planning Strategic planning is an organization's process of defining its strategy, or direction, and making decisions on allocating its resources to pursue this strategy, including its capital and people.  for the future. In order to provide an in-depth examination of major trends in the health care industry over the last year, Health Care 2000 compiles more than 180 charts and graphs from a number of primary and secondary sources.

To order a copy of Health Care 2000, please call (800) 931-0053.

About VHA Inc.

VHA Inc. is a nationwide network of 1,900 leading community-owned health care organizations and their affiliated physicians. The VHA alliance comprises 27 percent of the nation's community hospitals, including many of the nation's largest and most respected institutions. VHA offers programs and services to improve financial and clinical performance, and as a cooperative distributes income annually to members based on their participation. For more information on VHA, go to http://www.vha.com.

About Deloitte & Touche

Deloitte & Touche, one of the nation's leading professional services firms, provides assurance and advisory, tax, and management consulting Noun 1. management consulting - a service industry that provides advice to those in charge of running a business
service industry - an industry that provides services rather than tangible objects
 services through 30,000 people in more than 100 U.S. cities. The firm is dedicated to exceeding the expectations of its clients and its people. Known as an employer of choice for its innovative human resources The fancy word for "people." The human resources department within an organization, years ago known as the "personnel department," manages the administrative aspects of the employees.  programs, Deloitte & Touche has been recognized as one of the "100 Best Companies to Work for in America" by Fortune magazine for three consecutive years. Deloitte & Touche is part of Deloitte Touche Tohmatsu Deloitte & Touche (also referred to as Deloitte Touche Tohmatsu, and branded as Deloitte.) is the second largest professional services firm in the world, and one of the Big Four auditors, along with PricewaterhouseCoopers, Ernst & Young and KPMG. , one of the world's leading professional services firms, with more than 90,000 people in over 130 countries. For more information, please visit Deloitte & Touche's web site at www.us.deloitte.com
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Date:Mar 22, 2000
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