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Co-Management Arrangements – Aligning (共同管理安排,调整)
Co-Management Arrangements –Aligning Physicians and Hospitals
This is the first in a series of articles regarding new models and arrangements for emerging healthcare
organizations (EHOs) in light of the continuing efforts towards healthcare reform. Future issues will
address such topics as Accountable Care Organizations and the Medical Home Model.
Alignment, integration, and engagement of physicians is an organization that is either jointly owned or wholly
a key strategy for health systems seeking to create high- owned by a physician to provide the daily management
performing, high-quality, and high-efficiency services for the inpatient and/or outpatient components
organizations. Yet aligning physicians‟ interests with of a medical specialty service line.7 A co-management
those of hospitals and health systems has been an arrangement incentivizes physicians for the
ongoing struggle, particularly since the shift from small, development, management, and improvement of quality
physician/provider-owned, independent private practices and efficiency, as well as for making the service line
to captive practices within larger integrated health more competitive in the target market.8
systems, i.e., the corporatization of the practice of
The Clinical Co-Management Structure
medicine. Successful hospital enterprises have
understood that “to effectively respond to the economic Typically, the key components to consider when
incentives of reform, a hospital must achieve a deeper developing
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