Comments on Steve Shortell Larry Casalino

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Comments on Steve Shortell Larry Casalino

• Joseph P. Newhouse

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Main Points - 1

• More a vision than a road map
• Multi-specialty group and health plan network
  clearly feasible doubt feasibility of medical
  staff and interdependent practice
• Conditional on current financing, all parties
  would need to see gains this seems unlikely for
  latter two models
• PHO maybe, if mean delegated risk type model

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Main Points - 2

• Multi-specialty group seems to have limited
  potential to expand market share from national
  perspective would try to strengthen health plan
  incentives
• Beginnings here tiered networks that consider
  quality BTE Leapfrog disease and case mngt
• MD autonomy a major barrier unlikely they would
  want to work as a subcontractor