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Health Policy Report
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Volume 341:2029-2032 December 23, 1999 Number 26

Executives with White Coats — The Work and World View of Managed-Care Medical Directors— Second of Two Parts
Thomas Bodenheimer, M.D., and Lawrence Casalino, M.D., Ph.D.

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 by Bodenheimer, T.
-PubMed Citation
Part 1 of this article discussed the career paths of managed-care medical directors in both HMOs and provider organizations and described their work in the area of utilization management. In this second part, we resume the description of the work of medical directors.

Top-level medical directors spend a substantial proportion of their time on quality improvement. This activity has grown in importance as a result of the rise to prominence of the National Committee for Quality Assurance (NCQA) and its Health Plan Employer Data and Information Set (HEDIS). Many HMOs seek NCQA accreditation and strive to score high on the . . . [Full Text of this Article]

Budgeting

Creating and Maintaining the Network

Evaluating Physicians' Performance

Paying Physicians

Working with Customers and Regulators

Putting Out Fires

Policy Decisions

How Are Medical Directors Paid?

Two Views of Medical Directors

Conclusions

References


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