Bibliography
Abehdshien, John M. "Your strategic initiatives can't wait
for reform," Hospitals & Health Networks, May 20, 1994.
Anlyan, William G, Chair, Institute on Quality of Care and Patterns
of Practice. "Managing Risks and Quality in Hospital-Related Managed
Care," The Hospital Research and Educational Trust of the American
Hospital Association, Chicago, IL, 1991.
Bergman, Rhonda. "Getting the goods on guidelines," Hospitals
& Health Networks, October 20, 1994.
Bergman, Rhonda. "The Trials of Accreditation," Hospitals
& Health Networks, Sept. 5, 1994.
Bodenheimer, Thomas and Kevin Grumbach. "Reimbursing Physicians
and Hospitals," JAMA, September 28, 1994.
Boland, Peter, ed. Making Managed Healthcare Work: A Practical
Guide to Strategies and Solutions, Aspen Publishers, Gaithersburg, Maryland,
1993.
Boochever, Stephen, S. "Overview," National Health Lawyers
Association, 1993 Managed Care Law Institute, Hinman Straub Pigors &
Manning, Albany, NY.
Bostrom, Janet and Jody Mechanic. "The proliferation of health
care contracts at a tertiary care hospital: Organizational and financial
impacts," Health Care Management Review, Vol. 18:4, Fall, 1993.
Burns, John. "Hospitals splurge on selling efforts," Modern
Healthcare, March 7, 1994.
Caesar, Neil B. "How to gain leverage with a health plan,"
Medical Economics, February 7, 1994.
Cassidy, Michael A. and Howard T. Wall. "Successfully Negotiating
Managed Care Provider Agreements," Managed Care Law Institute: Contracting
Issues, National Health Lawyers Association, Chicago, IL, Dec. 1994.
Cerne, Frank. "Shaping up for capitation," Hospitals
& Health Networks, April 5, 1994.
Cerne, Frank. "Cincinnati: major employers call the shots on
health care delivery," Hospitals & Health Networks, December
20, 1993.
Cerne, Frank. "The Fading Stand-Alone Hospital," Hospitals
& Health Networks, June 20, 1994.
Cerne, Frank. "Westchester County, NY - Community hospitals
join to attract employer contracts," Hospitals & Health Networks,
Jan. 5, 1994.
Conklin, Michele. "Commercial DRG contracts help providers
adjust to capitated reimbursement," Health Care Strategic Management,
August, 1994.
Cummings, Kenneth C. "Physicians-hospital integration in a
community hospital: a case study, " Physician Executive, Vol.
20:6, June, 1994.
Davis, Gary Scott and Cynthia Marcotte Stamer. "Contracting
Issues between Integrated Systems and Managed Care Organizations and Plans,"
National Health Lawyers Association, Health Law Update and Annual Meeting,
Steel Hector & Davis, Miami, FL, McKenna & Cuneo, Washington, D.C.
Davis, Gary Scott. "Representing Hospitals in Managed Care
Negotiations," National Health Lawyers Association, 1993 Managed Care
Law Institute, Steel Hector & Davis, Miami, FL.
Dempsey, W. Susan, Sydney H. Mendel, and M. Claudia Pawlak. "It's
No Longer 'Words and Music': Marketing in a Capitated Environment,"
Group Practice Journal, May/June 1993.
Eckholm, Erik. "While Congress Remains Silent, Health Care
Transforms Itself," The New York Times, Dec. 18, 1994.
Fisher, Roger, William Ury and Bruce Patton. Getting to Yes, 2nd
ed, Penguin Books, New York, New York, 1991.
Friedman, Emily. "Managed care: Where will your hospital fit
in?" Hospitals, April 5, 1993.
Fruchter, Scott J. "Understanding the risk in "at-risk"
contracts: a primer for providers who want to be "managed care-friendly,"
Behavioral Health Management, May-June, 1994.
Gilden, Karen McGarry. "The Challenge of Cancer Care Marketing,"
Seminars in Oncology Nursing, Vol. 9:1, Feb. 1993.
Gillies, Robin R., Stephen Shortell, et al. "Conceptualizing
and measuring integration: findings from the Health System Integration study,"
Hospital & Health Services Administration, Vol. 38:4, Winter,
1993.
Goldman, Ellen F. "Re-engineering revenues: protect against
opportunity lost with three key strategic marketing tactics," Journal
of Health Care Marketing, Summer, 1994.
Greene, Jay. "Competition for patients spurs hospitals' concern
for serving the customer," Modern Healthcare, July 18, 1994.
Greene, Jay. "Systems scurry to find 'partners' for networks,"
Modern Healthcare, June 28, 1993.
Hamer, Richard and Michelle Porter. "Trends in HMO Development,"
Compensation & Benefits Management, Autumn, 1993.
Henderson, John. "Hospitals seek bigger cut of outpatient surgeries,"
Modern Healthcare, June 28, 1993.
Henneberger, Melinda. "Hospitals Learning the Not-Subtle Art
of Self-Promotion," The New York Times, July 4, 1994.
"HMO Accreditation Status Lists is Released by the National Committee
for Quality Assurance," Spencer's research reports on employee benefits,
" Vol. 42:23, June 19, 1994.
Hoffman, Gary and Douglas Jones. "Prebilling DRG training can
increase hospital reimbursement," Healthcare Financial Management.,
Sept. 1993.
Hudson, Terese. "Providers beware: managed care contracts can
be tricky," Hospitals & Health Networks, Feb. 5, 1994.
Hurley, Dan. "Administration: 25% of hospital spending,"
Medical World News, Vol. 34:9, Sept. 15, 1993.
Johnsson, Julie. "Developing a winning strategy for managed
care contracting," Hospitals, October 5, 1991.
Johnsson, Julie. "Conquering the contract dragon," American
Medical News, March 8, 1993.
Kelly, James P. "Fundamentals for Payors and Providers,"
1994 Health Law Update.
Kenkel, Paul J. "Alliances for HMO growth," Modern
Healthcare, May 2, 1994.
Kongstvedt, Peter. The Managed Health Care Handbook 2nd ed, Aspen
Publishers, Gaithersburg, Maryland, 1993.
Kraft, Jeffrey. "Direct contracting with employers doesn't
need to be complicated," Modern Healthcare, November 30, 1992.
Kronick, Richard, David Goodman, John Wennberg, and Edward Wagner.
"The Demographic Limitations of Managed Competition," The
New England Journal of Medicine, January 14, 1993.
Kudrle, Venetia. "Making payors part of total quality management,"
Managed Care Quarterly, Vol. 1:2, 1993.
Larkin, Howard. "Limit your downside," American Medical
News, Oct. 24/31, 1994.
Leavenworth, Geoffrey. "Four cost-cutting strategies,"
Business & Health, Vol. 12:8, Aug. 1994.
Lutes, Mark E. "Health care economics is changing - the law
is sure to follow," Physician Executive, Vol. 19:6, Nov-Dec,
1993.
Malcolm, Christine and Mayumi Fukui. "Specialty service contracting,"
Topics in Health Care Finance, Winter, 1993.
"Managed Care Market Overviews," Medical Benefits, Charles
J. Singer & Company, Vol. 11:6, March, 1994.
"Marion Merrell Dow Managed Care Digest - HMO edition," Marion
Merrell Dow Inc., Kansas City, Missouri, 1993.
"Marion Merrell Dow Managed Care Digest - PPO edition," Marion
Merrell Dow Inc., Kansas City, Missouri, 1993.
McDermott, Dennis, Frank Franzak, and Michael Little. "Does
marketing relate to hospital profitability?" Journal of Health Care
Marketing, Vol. 13:2, Summer, 1993.
Miller, Robert and Harold Luft. "Managed Care Plans: Characteristics,
Growth, and Premium Performance," Annual Review of Public Health,
Vol. 15, 1994.
Montague, Jim. "Striking Back," Hospitals & Health
Networks, October 20, 1994.
Montague, Jim. "Keeping Pace - Academic medical centers begin
retooling for the future," Hospitals & Health Networks,
Sept. 20, 1993.
Moriarity, Joseph. "The University Hospital - Will New Strategies
Keep It in the Game?" Minnesota Medicine, Vol. 76, April, 1993.
Morrissey, John. "Providers get their due," Modern
Healthcare, Nov. 7, 1994.
O'Connor, Stephen J., Richard Shewchuk, and Lynn Carney. "The
great gap: physicians' perceptions of patient service quality expectations
fall short of reality," Journal of Health Care Marketing, Vol.
14:2, Summer 1994.
Raphael, Steve. "Hospital marketing targets doctors, consumer,"
Crain's Detroit Business, Aug. 23, 1993.
Schermer, Beth, Chair, AAHA Managed Care Committee. "Managed
Care Handbook," American Academy of Hospitals Attorneys of the American
Hospital Association, AAHA Practice Guide Series/Vol. 1, 1993.
Schwartzben, Dov. "Reimbursement Issues in Managed Care Contracting,"
Hospital Cost Management and Accounting, September, 1994.
Scroggins, E. Suzanne and Karen Brayer. "How to approach managed
care contracting in the 1990s," MGM Journal, March/April, 1993.
Sennett, Cary, Antonio Legorreta, and Steven Zatz. "Performance-based
Hospital Contracting for Quality Improvement," Journal on Quality
Improvement, September, 1993.
Shoor, Rita. "Anticipating health care reform and seeking a
marketing edge over competitors, hospitals are forming alliances with other
providers," Business & Health, Vol. 12, Aug. 1994.
Sprenger, Gordon, James Rice, C. Thomas Smith, and Merlin Olson.
"Health Gain - Improving the Health of Communities through Integrated
Healthcare," Allina Health System, Deloitte & Touche LLP, VHA,
Minneapolis, MN, 1994.
Stamer, Cynthia Marcotte. "Selected Insights into Managed Care
Contract Negotiations from the Plan Sponsor's Perspective," McKenna
& Cuneo, Washington, D.C., 1994.
Strickland, David. "The future of guidelines: health reform,
managed care, and computers will drive the use of guidelines in the years
ahead," Business & Health, March, 1994.
Teplin, Robert. "A guide to evaluating managed care companies,"
Physician Executive, June, 1994.
The InterStudy Competitive Edge Vol. 3:2, InterStudy Publications,
Saint Paul, Minnesota, 1994.
The InterStudy Competitive Edge Vol. 4:1, InterStudy Publications,
Saint Paul, Minnesota, 1994.
Thomas, Richard K. "What Hospitals Must Do," American
Demographics, Jan. 1993.
Tiano, Linda V. "Group Contracting," National Health Lawyers
Association, 1993 Managed Care Law Institute, Mohawk Valley Physicians Health
Plan, Schenectady, NY.
Tweed, Vera. "Making HMOs compete: by tailoring managed competition
to fit their needs, employers are encouraging workers to choose low cost
HMOs," Business & Health, Vol. 12:10, Oct. 1994.
Unger, Walter J. and Anne Findlay Vail. "Integrated Health
Care Systems: Alliances for Integration," Group Practice Journal,
May/June 1994.
Wall, Howard T. "Contracting," National Health Lawyers
Association, 1993 Managed Care Law Institute, Waller Lansden Dortch &
Davis, Nashville, TN.
Winograd, Joel. "Check this list before signing a managed care
contract," American Medical News, October 24/31, 1994.
Zakoworotny, Cindy. "Strategies to optimize DRG reimbursement,"
Topics in Health Care Finance, Fall, 1993.