Hospitals Buying More Doctors’ Practices

Perry touts effects of tort reform on doctors

But it has no goal in terms of numbers. “We are looking to hire some (gastroenterologists) … and a few more neurologists. We are filling in particular needs here and there,” he said. “What we are doing … is trying to right-size it around the idea that we are going to be in a managed-care environment.” (It’s) about not wasting and not duplicating, and maybe being more preventive to keep the diabetic out of the hospital. Mark Nantz, Bon Secours St. Francis Health System Managed care, a more highly controlled payment and provider strategy typified by health-maintenance organizations, was the big idea in the 1980s to control health care costs. But it had little effect on the nation’s spiraling medical bills. Officials at both hospital systems in the Greenville area think that the government, insurers and businesses increasingly want to pay a set payment per person no matter what health services that person uses. Sinopoli said that’s what’s driving his hospital’s decision to hire more doctors, operate other services such as home care and create a network of integrated providers. The result should be a more efficient, less expensive product. He points to Kaiser Permanente, an integrated managed-care organization in California that has been operating for decades, as an example of such a system. Businesses pay a set fee for their employees to get health care from Kaiser Permanente doctors and other providers.

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Peter Hersh, Ophthalmology* Dr. Robert Johnson, Adolescent Medicine Dr. Mark Jordan, Urology Dr. Andrew Kaufman, Pain Medicine Dr. Marc Klapholz, Cardiovascular Disease Dr. Paul Langer, Ophthalmology Dr. Huey-Jen Lee, Diagnostic Radiology Dr. David Marks, Neurology Dr. Peter McGovern, Reproductive Endocrinology* Dr. Evelyn Montalvo Stanton, Pediatric Pulmonology Dr. James Oleske, Pediatric Infectious Diseases Dr. Jayoung Pak, Pediatric Neurology Dr. Francis Patterson, Orthopaedic Surgery Dr. Sanjeev Sabharwal, Orthopaedic Surgery Dr. Hossein Sadeghi-Nejad, Urology* Dr. Paulette Stanford, Adolescent Medicine Dr.

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Millburn, Summit and Chatham doctors included on 2013 ‘Top Doctors’ list

Monday, Sept. 9, 2013 Perry touts effects of tort reform on doctors Sponsored Links The Associated Press EDINBURG, Texas Gov. Rick Perry chose a South Texas county that he said had been at the epicenter of the medical malpractice lawsuit “crisis” to commemorate the 10th anniversary of legislation capping how much juries could award plaintiffs. Speaking at the doctor-owned Doctors Hospital at Renaissance on Monday, Perry said the changes, commonly known as tort reform, expanded access to health care and made Texas an attractive destination for physicians. “I’m just continually surprised that some people still want to argue that tort reform didn’t work,” Perry said, flanked by doctors in white jackets. But Perry was in Hidalgo County along the Texas-Mexico border where access to health care remains a paramount concern and the benefits of tort reform with regard to health care access are difficult to discern. “Texas doctors were faced with awful choices stop providing the critical services their patients desperately needed, shut down their practice altogether or leave the state,” Perry said. “It was a crisis that was precipitated by a system that fostered an unrelenting stream of lawsuits. Particularly in the Rio Grande Valley, physicians were rare who had not been sued.” The Texas Medical Association, which lobbies on behalf of doctors, released a survey at the event indicating that doctors believe the state’s professional liability climate has improved. According to the Texas Department of State Health Services, the number of direct care physicians in Texas has increased 24 percent since 2003 to 42,716 in September 2011, while the state’s population grew 16 percent during the same period. The measures passed in 2003 capped the noneconomic damages that could be awarded in medical malpractice lawsuits against doctors at $250,000, among other provisions. Most affected were high-risk specialties such as neurosurgery. Dr. Carlos Cardenas, a gastroenterologist who introduced Perry, said prior to tort reform this area that served almost 1 million people had nearly no neurosurgical coverage. Records from the Texas Medical Board indicate that in May 2003, before the reform took effect, there were three neurosurgeons in Hidalgo County.

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