These entities include e-prescribing and EPCS solution providers, electronic health networks, financial services firms, health information exchanges, health information service providers, medical billers, third-party administrators, management service organizations
, outsourced service providers, payers and vendors.
DEMARCO is president and CEO of DeMarco & Associates Inc., a Rockford, Ill.-based health care consulting firm that provides guidance in establishing independent management service organizations
. For more information about these services, go to www.demarcohealth.com.
According to the Medical Group Management Association's (MGMA) newly released Management Services Organization Performance Survey, more management service organizations
(MSOs) are edging closer to the break-even point, but there is still need for improvement.
Strategic partners include IDX Systems Corporation (Nasdaq: IDXC), a provider of complete healthcare information solutions for physician group practices, management service organizations
, academic medical centers, and integrated delivery networks; IMS Health (NYSE: RX), the world's leading supplier of information solutions to the pharmaceutical and healthcare industries; Express Scripts (Nasdaq: ESRX), the nation's largest independent full-service pharmacy benefit manager; Compaq (NYSE: CPQ) a global provider of technology and solutions; Merck-Medco, one of the nation's leading pharmaceutical benefits management companies; and Microsoft Corporation (Nasdaq: MSFT) the worldwide leader in software, services and Internet technologies for personal and business computing.
Specifically, one would expect physician medical groups or their affiliated health systems, management service organizations
, physician-hospital organizations, or practice management companies to develop and implement protocols to manage high-cost services; clinical guidelines for the care of patients with particular diseases; demand management programs to influence patient health-seeking behaviors; clinical information systems to capture data on utilization, costs, and outcomes; provider profiling and feedback mechanisms to provide detailed data on utilization and costs by physician; and total quality management approaches.
With the emergence of physician hospital organizations (PHOs), management service organizations
(MSOs) and local delivery sytems (LDSs), the contract-management system's ability to support capitated arrangements will continue to increase in importance.
To effectively manage risk and provide the sophisticated business infrastructure necessary to thrive in today's complex environment, many health plans have developed management service organizations
The emerging management service organizations
(MSOs) and formally organized managed primary care networks must be designed to represent functional management integration, and the VPMA is in the prime position to lead this development.
"Now Modols for Hospital-Affiliated Medical Group Practice: The Use of Medical Foundations and Management Service Organizations
." Hospital Strategy Report 4(9):1,3-5, July 1992.