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National Directory of Physician Organizations, 2nd Edition

Managed Care Information Center, June 2005, Pages: 902


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The National Directory of Physician Organizations profiles more than 3,100 physician organizations. Listings include: physician hospital organizations (PHOs), independent practice associations (IPAs), HMO-model IPAs, management service organizations (MSOs) and physician practice management companies (PPMCs).

Key elements of the physician organizations profiled include:

- Executive company name and address;
- Executive officers and key personnel: Includes more than 6,300 executive contact names such as CEO, CFO, CIO or MIS director, COO, medical director, network development or contracts officer, utilization manager and claims manager.
- Company profile (e.g. year founded, profit status, state of incorporation, number of associated primary care and specialist physicians and hospital affiliation, market area);
- Demographic and market analysis
- Organizational functions (e.g. contract negotiation, quality management, marketing, claims, utilization review, credentialing)
- Affiliated/participating hospitals
- Management services organizations used

Every physician organization operates differently. The National Directory of Physician Organizations details which organizations have responsibilities for contract negotiations, utilization, marketing, credentialing, quality management and claims because it varies from one organization to the next.




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