Contracting: how to gain the information edge over HMOs

Article Abstract:

Hospital officials can bargain for profitable managed care contracts by conducting a thorough pre-negotiation investigation to determine the HMO's financial viability. Information not easily obtained from the HMO, such as utilization and enrollment data, is often available from the state agency that regulates the HMO, such as the department of corporations or the department of insurance. To compensate for difficulty attaining adequate information, hospitals can negotiate low-risk contracts with the plans.

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Increased turnover ahead for hospital CEOs

Article Abstract:

Changes wrought by health reform are expected to bring personnel turnover among hospital CEOs, according to a survey by the American College of Healthcare Executives. Hospital executive changes have already increased to 16.7% in 1991, compared to 12.8% in 1990. CEOs should build understanding between hospital board members and staff physicians, in addition to furthering board member education on current issues. Also, a firm contract between the CEO and the institution should define expectations.

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Openness is the key to trustee bonding

Article Abstract:

Communication between senior management and trustees is vital for running hospitals effectively. According to a 'Hospitals' magazine survey of 200 hospital administrators, one-to-one interactions and board retreats are the most effective methods for developing strong relationships with hospital trustees.

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