Survival strategies in a changing practice environment.

A number of forces disrupt normal referral patterns to physicians, driving hospital consolidation, and changing the way medicine is practiced in the United States. Strategies have been implemented to keep services in-network and stem "leakage"-all in the name of population health management, reducing unit costs, and spreading financial risk among the insurers, hospitals, and physicians. To survive in the changing medical environment, independent unintegrated physicians need to consider different practice models.

Oncology professional services agreements: a model for hospital affiliation that preserves private practice.

Professional services agreements enable community-based oncology groups to affiliate with local hospitals in a win-win transaction that preserves a significant level of independence for the oncology group. This article describes the business and legal aspects of such agreements.

Anatomy of a Cancer Center Transaction: Part II.

The second of a two-part series comparing two models for structuring a community-based cancer center on a collaborative basis between oncologists and a hospital.

Anatomy of a Cancer Center Transaction.

The first of a two-part series, this article presents one of two models for structuring a community-based cancer center through collaborative arrangements between oncologists and a hospital.

Exclusive hospital-based service agreements: what radiologists need to know.

This article provides radiologists with the information that they need to know to participate meaningfully in negotiating or renegotiating an exclusive hospital-based radiology service agreement. It discusses the contract negotiation process, including how to identify and prioritize contract objectives, and how to assess and create bargaining leverage. Options for achieving contract longevity, for resolving "turf" issues and for achieving financial objectives are also addressed.