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Tables of Contents for Ipa, Pho, and Mso Developmental Strategies
Chapter/Section Title
Page #
Page Count
Acknowledgments
vii
4
Foreword
xi
Albert Hollaway, President of The IPA Association of America (TIPAAA)
Introduction How It All Began
1
10
Chapter 1 Independent Practice Associations (IPAs)
11
20
Chapter 2 Physician Hospital Organizations (PHOs)
31
18
Chapter 3 Management Services Organizations (MSOs)
49
6
Chapter 4 Private Practice Management Firms (PPMs)
55
8
Chapter 5 Corporate Form: A Myriad of Choices
63
26
Chapter 6 Credentialing Issues and Guidelines
89
14
Chapter 7 Utilization Management Program Development
103
14
Chapter 8 Medicare Changes That Will Affect Network Development
117
30
Chapter 9 Antitrust Concerns for Provider Networks
147
28
Chapter 10 Business Plan Development
175
14
Chapter 11 Capitation Performance Guarantees
189
4
Chapter 12 Delegated Utilization and Claims Management for the MSO
193
4
Chapter 13 Considerations for Reinsurance Purchasing
197
12
Appendix A MSO Proforma Budget Worksheet
209
4
Appendix B Volunteer Committee Survey Form
213
2
Appendix C LLC Documentation Set
215
8
Index
223
8
About the Author
231