RESUMO
Consolidation patterns in the commercial banking industry offer lessons for health care leaders.
Assuntos
Instituições Associadas de Saúde , Tomada de Decisões Gerenciais , Eficiência Organizacional/economia , Instituições Associadas de Saúde/economia , Reembolso de Seguro de Saúde/legislação & jurisprudência , Inovação Organizacional , Patient Protection and Affordable Care Act , Transferência de Tecnologia , Estados UnidosRESUMO
Recent developments in healthcare reform legislation and in the private-payer marketplace have increased impetus toward clinical integration. Industry changes require that healthcare delivery institutions confront fundamental scope and scale structural issues that may lead to increased vertical integration. To accomplish integration, firms must decide the organizational form of integration (alliance or merger/acquisition). One form of integration, accountable care organizations (ACOs), has featured prominently in recent legislation. Clinical integration and ACOs present significant shared-governance challenges that must be understood by hospital boards. The author outlines these governance issues using a case study of Silver Cross Hospital's governance structure for its ACO.
Assuntos
Organizações de Assistência Responsáveis/organização & administração , Hospitais Comunitários/organização & administração , Governança Clínica , Reforma dos Serviços de Saúde , Convênios Hospital-Médico , Hospitais Comunitários/legislação & jurisprudência , Illinois , Estudos de Casos Organizacionais , Inovação Organizacional , Estados UnidosRESUMO
A hospital responds to payment reform with a uniquely structured physician joint venture.