Scanning the Headlines: Clinical Integration (Archive) 2008-2001

 
Updated on June 21, 2012

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Morris L.  [Arrangement in which a hospital has agreed to share with four cardiology groups and one radiology group a percentage of the hospital’s cost savings arising from the physicians’ implementation over two years of a number of cost reduction measures in certain cardiac catheterization procedures]. OIG Advisory Opinion No. 08-21. U.S. Dept. of Health and Human Services, Office of the Inspector General, Dec. 8, 2008.

Cash, J.  Technology can make or break the hospital-physician relationship.  Healthcare Financial Management.  62(12):104-109, Dec. 2008.

Moore, K., and Coddington, D.  Making physician integration work.  Healthcare Financial Management.  62(12):84-87, Dec. 2008.

Naas, P., and Smithson, K.  Clinical integration, round two.  Finding success with economic coordination.  Healthcare Financial Management.  62(12):88-94, Dec. 2008.

Grauman, D., and Harris, J.  3 durable strategies for physician alignment.  Healthcare Financial Management.  62(12):54-63, Dec. 2008.

Sanderson, B., Rice, B., and Fox, M.  Physician integration is back-and more important than ever.  Healthcare Financial Management.  62(12):64-71, Dec. 2008.

MacNulty, A., and Kennedy, D.  Beyond the models: investing in physician-hospital relationships.  Healthcare Financial Management.  62(12):72-77, Dec. 2008.

Bard, M., and others.  Physician alignment:  paths to partnership.  Health Progress.  89(6):20-24, Nov./Dec. 2008.

OIG opinions offer more kickback guidance.  Physician Compensation and Recruitment.  9(11):10, Nov. 2008.

Edgren, L.  The meaning of integrated care: a systems approach.  International Journal of Integrated Care.  Oct. 23, 2008.

Korb, J., and McCall, N.  Integrated Care Program: Final Evaluation.  Hamilton, NJ:  Center for Health Care Strategies, Oct. 2008.

Butler, M., and others.  Integration of Mental Health/Substance Abuse and Primary Care.  Rockville, MD:  Agency for Healthcare Research and Quality, Oct. 2008.

Taylor, M.  Experiments in paymentH&HN.  Sept. 11, 2008.

CMS' 'stand in the shoes' revisions allay fearsModern Physician.  Sept. 8, 2008.  [free registration for viewing].

Robert, L., and Muller, R.  Hospital-physician collaboration:  landscape of economic integration and impact on clinical integration.  Milbank Quarterly.  86(3):375-434, Sept. 2008.

Grossman, J., and Cohen, G.  Despite Regulatory Changes, Hospitals Cautious in Helping Physicians Purchase Electronic Medical Records.  Washington:  Center for Studying Health System Change, Sept. 2008.

Gosfield, A.  Stark III: refinement not revolution (part 2)Family Practice Management.  15(4):25-27, Aug. 29, 2008.  [free registration required].

Bakhtiari, E.  Under a microscopeHealthLeaders Media.  Aug. 28, 2008.

Gosfield, A.  Stark III: refinement not revolutionFamily Practice Management.  15(3):25-28, Aug. 25, 2008.  [free registration required].

Weber, D.  Forming a legitimate physician-hospital allianceHospitals & Health Networks.  Aug. 12, 2008.

Barlow, K.  How to get past the physician gatekeeper.   Healthcare Marketing Advisor.   9(8):9-10, Aug. 2008.

Blesch, G.  CMS shines up its 'shoes':  stark revisions ease tensions on self-referrals.  Modern Healthcare.  38(34):17, Aug. 25, 2008.

Office of the Inspector General, U.S. Department of Health and Human Services.  OIG Advisory Opinion No. 08-10, Aug. 19, 2008.

Cameron, D.  Innovations in medical staff planning:  setting the stage for the future (cover story).  Healthcare Executive.  23(4):16-20, July/Aug. 2008.

Physician-hospital affiliation/integration models.  Healthcare Executive.  23(4):21, July/Aug. 2008.

Office of the Inspector General, U.S. Department of Health and Human Services.  Advisory opinion on arrangement for a medical center sharing with physician groups a percentage of the medical center’s cost savings arising from the physicians’ implementation of cost reduction measures. OIG Advisory Opinion No. 08-09, July 31, 2008.

Ginsburg, S.  Colocating Health Services: A Way to Improve Coordination of Children's Health Care?  New York:  The Commonwealth Fund, July 9, 2008.

The Board of Directors for America’s Health Insurance Plans (AHIP) has released core principles that support using the patient-centered medical home approach to enable more personalized and coordinated care. The patient-centered medical home model replaces episodic care with a long-term relationship between patient and physician. The new AHIP model focuses on:

  • Practice redesign so care is delivered to meet a patient’s needs and wants;
  • Clear criteria for patient participation;
  • Adoption of health IT that enables evidence-based integrated care;
  • Accountability;
  • Engaging, informing, and empowering consumers to improve behavior;
  • Structuring payment to align with measurable improvements; and
  • Piloting reformed payment models or practice redesign.

(AHIP Board of Directors Releases Principles on Patient-Centered Medical Home, AHIP Press release, June 25. 2008).

Ketcham, J., and Furukawa, M.  Hospital-physician gainsharing in cardiologyHealth Affairs.  27(3):803-812, June 11, 2008.

Tynan, A., and Draper, D.  Getting What We Pay For: Innovations Lacking in Provider Payment Reform for Chronic Disease Care.   Washington:  Center for Studying Health System Change,  June 2008.

Reiboldt, M.  Find Strength in NumbersHealthLeaders Media.   Apr. 24, 2008.

Tollen, L.  Physician Organization in Relation to Quality and Efficiency of Care: A Synthesis of Recent Literature.  New York:  The Commonwealth Fund, Apr. 17, 2008.

Sheridan, S., and others.  Disclosure through our eyes.  Journal of Patient Safety.  4(1):18-26, Mar. 2008.

Jain, S., and Roble, D.  Gainsharing in health care meeting the quality-of-care challenge.  Healthcare Financial Management.  62(3):72-78, Mar. 2008.

Dyke, M.  Hospital-physician integration and the role of nursing.  Voice of Nursing Leadership.  6(2):8-9, Mar. 2008.

Trisolini, M. and others. The Medicare Physician Group Practice Demonstration: Lessons Learned on Improving Quality and Efficiency in Health Care.  New York:  The Commonwealth Fund, Feb. 2008.

Lefko, L.  All Eyes on Physician-Hospital Arrangements.  HealthLeaders Media, Jan. 24, 2008. 

Taylor, M. Working through the frustrations of clinical integration.  Hospitals and Health Networks.  82(1):34-40, Jan. 2008. 

Taylor, M.  Advice and Consent from the FTC.  Hospitals and Health Networks.  81(1):40, Jan. 2008. 

Herwick, D., Nolan, T., and Whittington, J.  The triple aim: care, health, and costHealth Affairs.  27(3):759-769, 2008.

Shields, M., Sacks, L., and Patel, P.  Clinical integration provides the key to quality improvement: structure for changeAmerican Journal of Medical Quality.  23(3):161, 2008.

Whitham, J., and Bernstein, S. Bonding with physicians: hospitals and IT donations. Trustee.  60(10):29-30, Nov./Dec. 2007.

Cohn, K., Friedman, L., and Allyn, T.  The tectonic plates are shifting:  cultural change vs. mural dyslexia.  Frontiers of Health Services Management.  24(1):11-26, Fall 2007.

Perry, M.  A local solution for hospital-physician relationships.  Frontiers of Health Services Management.  24(1):31-34, Fall 2007.

Petasnick, W.  Hospital-physician relationships:  imperative for clinical enterprise collaboration.  Frontiers of Health Services Management.  24(1):3-10, Fall 2007.

Larson, S.  How to calm the "perfect storm".  Frontiers of Health Services Management.  24(1):35-40, Fall 2007.

Fera, W.  Using information technology to align physicians and hospitals.  Frontiers of Health Services Management.  24(1):27-30, Fall 2007.

Sorrel, A.  Doctor-hospital network gets rare FTC approval to integrate. American Medical News, Oct. 15, 2007.

Federal Trade Commission. Greater Rochester Independent Practice Association, Inc., Advisory Opinion. Sept. 17, 2007.  Related FTC Press Release, Sept. 21, 2007.

Rosch, J. Clinical Integration in Antitrust: Prospects for the Future. Remarks of Commissioner, Federal Trade Commission to Americah Health Lawyers Association, American Bar Association Antitrust Secion and Health Law Section at 2007 Antitrust in Health Care, Sept. 17, 2007. 

Taylor, M. Legal issues. Will FTC decision in Illinois impact hospital mergers nationally?  Hospitals and Health Networks.  81(9):28, Sept. 2007.

Blesch, G. Haven't we met before? Don't call it a merger--a spate of new joint operating agreements may spark '90s de ja vu, but it's different now, executives say. Modern Healthcare. 37(28):6-7, 16, July 16, 2007.

Bohlmann RC. Hospital-owned medical practices. Some are integrated, others disconnected. MGMA Connexion.  7(6):35-7, July 2007.

Blesch, G. Antitrust angst. Providers continue to seek clarity from feds on what types of deals and clinical affiliations would run afoul of the law. Modern Healthcare.  37(25):28-30, June 28, 2007.

Thaldorf, C., and Liberman, A.  Integration of health care organizations: using the power strategies of horizontal and vertical integration in public and private health systemsHealth Care Manager.  26(2):116-27, Apr./June 2007. 

Runy, L. A collaborative approach to quality and cost control. Hospitals and Health Networks Most Wired Online.  May 29, 2007. 

Evans, M. Higher standard. Ruling could make it tougher for antitrust plaintiffs. Modern Healthcare.  37(22):14-5, May 28, 2007.

Internal Revenue Service. Directive: Hospitals Providing Financial Assistance to Staff Physicians Involving Electronic Health Records. May 11, 2007.

Leary, T., and others. Guidance for Clinical Integration; Working Paper.  Hogan & Hartson, LLP for the American Hospital Association, Apr. 2007.

Slonim, A., and others.  Recommendations for integration of chronic disease programs: are your programs linked?  Preventing Chronic Disease.  4(2):serial online, Apr. 2007.

Sorrel, A.  FTC lets grop continue clinical integration planAmerican Medical News, Feb. 5, 2007. 

Solomon, M.Regional health information organizations: a vehicle for transforming health care delivery? Journal of Medical Systems.  31(1):35-47, Feb. 2007. 

Broccolo, B. Electronic Health Records Systems: From Vendor Contract Negotiation to Provider Practice Integration. American Health Lawyers Association, Feb. 2007.

Wilensky, G., Wolter, N., and Fischer, M. Gain sharing: a good concept getting a bad name?   Health Affairs.  26(1):w58-67, Jan./Feb. 2007.

Guterman, S., and Serber, M. Enhancing Value in Medicare: Demonstrations and Other Initiatives to Improve the Program.   New York:  The Commonwealth Fund, Jan. 2007.

Hospital-Physician Clinical Integration.  Chicago:  Center for Healthcare Governance, 2007.  (WX 203 H828 2007).

Lazaroff. M. Developments in Antitrust Law in Healthcare Markets. Antitrust Review of the Americas 2008. Global Competition Review, 2007.

Reinertsen, J., and others.  Engaging Physicians in a Shared Quality Agenda - Free.  Cambridge, MA:  Institute for Healthcare Improvement, 2007.

Snapshot. Uncoordinated Care: A Survey of Physician and Patient Experience. California HealthCare Foundation. 2007. 

Babbo, T., Marren, J., and Deady, P. Clinical integration: a Physician and Hospital Strategy for Better Quality, Enhanced Competition, and Collection Contracting. Hogan Marren, Ltd., 2007. 

Duffy, J., and Green, T. Hospital-Physician Clinical Integration.  Center for Healthcare Governance. 2007.

Bissegger, M. The Evanston initial decision: is there a future for patient flow analysis? Journal of Health Law.  39(1):143-59, Winter 2006.  

Marx, D. Jr.  Antitrust Fundamentals. American Health Lawyers Association, Nov. 2006. 

Berenson, R. Challenging the Status Quo in Chronic Disease Care: Seven Case Studies. California HealthCare Foundation, Sept. 2006.

Report on the National Steering Committee.  Chicago:  Health Research and Educational Trust, Sept. 2006.

Berenson, R. Challenging the Status Quo in Chronic Disease Care: Appendix With Detailed Case Studies. California HealthCare Foundation, Sept. 2006. 

Taylor, M. Antitrust watchdog. FTC Chairman Majoras says healthcare remains an importantpriority for her agency.  Modern Healthcare.  36(26):28-30., June 26, 2006.

Taylor, M. Revival of the fittest. PHOs have dropped in number, but many are still goingstrong despite antitrust scrutiny--and there's even renewed interest. Modern Healthcare.  36(26):24-6, June 26, 2006.

Warden, J. and Woodward K. Creating a sustainable physician strategyHealthcare Financial Management.  62(1):62-68, Jan. 2008.

Trisolini, M. and others. Medicare Physician Ggroup Practices: Innovations in Quality and Efficiency. New York:  The Commonwealth Fund, Dec. 2006.

Casalino, L. The Federal Trade Commission, clinical integration, and the organization of physician practice.   Journal of Health Politics, Policy and Law.  31(3):569-85, June 2006.

Greaney, T.  Antitrust and hospital mergers: does the nonprofit form affect competitive substance? Journal of Health Politics, Policy and Law .  31(3):511-29, June 2006.

Gaynor M. Why don't courts treat hospitals like tanks for liquefied gases? Some reflections on health care antitrust enforcementJournal of Health Politics, Policy and Law.  31(3):497-510, June 2006.

Taylor, M. FTC hears Illinois merger case.  Modern Healthcare.  36(21):14, May 22, 2006.

Federal Trade Commission. FTC Staff Advisory Opinion Concerning Suburban Health Organization, Inc. Mar. 28, 2006.

Taylor, M. Pulling it together. Annual IHN 100 ranking shows continuing move toward enhancedintegration. Modern Healthcare.  36(6):28-31, Feb. 6, 2006.

Taylor, M. Behind the FTC's lawsuit. Payers pointed finger at Evanston Northwestern. Modern Healthcare.  36(1):14-6, Jan. 2, 2006.

Enthoven, A., and Tollen L.  Competition in health care: it takes systems to pursue quality and efficiencyHealth Affairs. Suppl. Web Exclusives:W5-420-33, Jul./Dec. 2005.

Taylor, M. Splitting headaches. FTC judge's ruling could have far-ranging impact.  Modern Healthcare.  35(46):17-8, Nov. 14, 2005.

Romano, M. Integration demonstration. The CMS' latest pay-for-performance initiative will test the power of integrated delivery systems to alter doc practice patterns. Modern Healthcare.  35(44):6-7, 16, Oct. 31, 2005.

Taylor, M.  Changing the balance. In ordering Evanston Northwestern to divest a hospital, theFTC could give insurers more power in negotiating with providers.  Modern Healthcare.  35(43):6-7, 16, Oct. 24, 2005.

Schryver DL. The re-emergence of the IDS practice model. Cost-driven and community-focusedMGMA Connexion.  5(5):44-6, 48, May/June, 2005.  1. Erratum in: MGMA Connexion.  5(8):2, Sept. 2005. 

Buchholz, S. What’s the risk in gain sharing.   Materials Management in Health Care.  1 4(8):43-4, Aug. 2005.  

Woolf, H., and others.  Putting it together: finding success in behavior change through integration of services. Annals of Family Medicine.  Suppl. 2:S20-7, July/Aug. 3, 2005.

Ferman, J. Gain sharing becomes more viable. Some of the traditional legal barriers to gain sharing arrangements are dissolving. Healthcare Executive.  20(4):38-9, Jul./Aug. 2005.

Taylor, M. High stakes in Evanston case. If FTC loses, hospital merger enforcement may lag. Modern Healthcare.  35(27):12, July 11, 2005.

McIntire, T. Two recent opinions allow hospitals to assist independent physiciansPhysician Executive.  31(3):70-2, May/June, 2005. 

Vuletich, M. New IDS models share the same challenges.  MGMA Connexion.  5(5):47-8, May/June 2005. 

Graham, J.  The Federal Trade Commission and physician practiceJournal of Medical Practice Management .  20(5):259-62, Mar./Apr. 2005.

Taylor, M. Competitive duel. FTC lawyer says Evanston deal caused 'sea change'.  Modern Healthcare.  35(7):8-9, Feb. 14, 2005.

Taylor, M. Merger issues linger. Modern Healthcare.  35(4):7, Jan. 24, 2005.

Taylor, M. Responding to an antitrust investigation. When the FTC calls, be sure to get an experienced lawyer, cooperate fully and don't be afraid to settle.  Modern Healthcare.  34(45):S3, Nov. 8, 2004.

U.S. Department of Justice and Federal Trade Commission.  Improving Health Care: a Dose of Competition. July 2004.

Saver, R. Squandering the gain: gain sharing and the continuing dilemma of physician financial incentives.  Northwestern University Law Review. 98(1):145-238, Fall 2003.

Office of the Inspector General, U.S. Department of Health and Human Services.  Contractual Joint Ventures, Apr. 2003.

Leary, T. The Antitrust Implications of “Clilnical Integration:” An Analysis of FTC Staff’s Advisory Opinion to MedSouth.  Expanded version of speech to St. Louis University Health Law Symposium, Apr 12, 2002. 

Federal Trade Commission. Follow-up to 2002 MedSouth, Inc. Staff Advisory Opinion, June 18, 2007.  Earlier MedSouth Advisory Opinion, Feb. 9, 2002.

Weil, A. Public administration barriers to expanding integrated modelsHealth Affairs .  20(6):173-4, Nov./Dec. 2001.

 

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