e payment. Managed care organizations in effect will predetermine what procedures will be used and fund these procedures on a prospective basis.
Many hospitals are working to develop physician-hospital organizations in order to survive in the evolving managed care environment (Hagland, 1991, p. 20). Managed care has made it necessary for hospitals to form new organizations to combine the payment risks inherent in managed care. Hospitals will not succeed unless vehicles are created that allow medical staffs and hospitals to function as a common entity in a unified health care system. Financing managed care is a major issue that must faced.
Compensation trends also are beginning to shape physicians' work styles (Hagland, 1991, p. 21). Family practitioners and internists in particular are seeing compensation in managed care begin to surpass overall compensation in the fee-for-service environment. In addition, many younger physicians are now seeking predictable working hours and a less medicine-obsessed l
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