Burns, Lawton R

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2000 - 200912010 - 20132
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  • Publication
    Physician Responses to the Marketplace: Group Practices and Hospital Alliances
    (2000-05-23) Burns, Lawton R
    Congress is now debating legislation that would give independent physicians the right to bargain collectively with managed care organizations. Proponents argue that this legislation is needed to counterbalance the market power of managed care organizations; opponents argue that physicians can already gain leverage and negotiating strength by forming group practices or through joint ventures with hospitals. This debate has brought attention to the competitive nature of the health care marketplace, and physician responses to managed care. This Issue Brief examines how physicians are reorganizing their practices to meet the demands of the competitive marketplace.
  • Publication
    Accountable Care Organizations: Back to the Future?
    (2012-12-04) Burns, Lawton R; Pauly, Mark V
    Accountable Care Organizations (ACOs) are networks of providers that assume risk for the quality and total cost of the care they deliver. Public policymakers and private insurers hope that ACOs will achieve the elusive “triple aim” of improving quality of care, improving population health, and reducing costs. The model is still evolving, but the premise is that ACOs will accomplish these aims by coordinating care, managing chronic disease, and aligning financial incentives for hospitals and physicians. If this sounds familiar, it may be because the integrated care networks of the 1990s tried some of the same things, and mostly failed in their attempts. This Issue Brief summarizes the similarities and differences between the new ACOs and the integrated delivery networks of the 1990s, and presents the authors’ analysis of the likely success of these new organizations in affecting the costs and quality of health care.
  • Publication
    Physician Referral and the Potential for ACOs in Philadelphia
    (2013-01-01) Sen, Aditi P; Burns, Lawton R; Dandorph, Michael; Sawyer, Suzanne