HSEM 380 Lecture Notes - Lecture 5: Managed Care
22 May 2018
School
Course
Professor
What is a predominate type of health care delivery in US
-Ambulatory Care
What is the cause of the expansion of ambulatory care
-caused by development of new medical and diagnostic procedures that have allowed many procedure
to be performed as outpatient basis
Due to the increase in demand for ambulatory care, what have hospitals had to do to compensate
-they have had to convert space for outpatient setting
-free standing non-hospital based facilities have increased in number to meet demand
What has been the result of larger physician groups adding outpatient services and facilities to their
practice
-these groups have added diagnostic imaging facilities, treatment facilities, and same day surgery
centers
-this has caused major revenue shifts from hospitals
-this resulted in physician and hospitals competing with each other for patients
Which type of office constitutes for major mode of ambulatory care
-private physician offices
What factors influenced the trend of solo physicians to group pratices
1. physicians' desire to balance work and private life
2. the demand on physicians to keep up with the latest technology
3. more complicated reimbursement paperwork and bookkeeping
4. the need for a larger staff and computer support
5. increases in the cost of malpractice insurance
Group practices involve in what 2 forms
1. Physician in the same discipline
2. Multidisciplinary specialty practices
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Document Summary
What is a predominate type of health care delivery in us. What is the cause of the expansion of ambulatory care. Caused by development of new medical and diagnostic procedures that have allowed many procedure to be performed as outpatient basis. Due to the increase in demand for ambulatory care, what have hospitals had to do to compensate. They have had to convert space for outpatient setting. Free standing non-hospital based facilities have increased in number to meet demand. What has been the result of larger physician groups adding outpatient services and facilities to their practice. These groups have added diagnostic imaging facilities, treatment facilities, and same day surgery centers. This has caused major revenue shifts from hospitals. This resulted in physician and hospitals competing with each other for patients. Which type of office constitutes for major mode of ambulatory care. Group practices involve in what 2 forms: physician in the same discipline, multidisciplinary specialty practices.
