Healthcare financial management : journal of the Healthcare Financial Management Association
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Four primary hospital-physician models are per-click service agreements, management services agreements, gainsharing, and equity joint ventures. Four key attributes needed for successful joint ventures are clinical quality, customer satisfaction, operational effectiveness, and financial soundness. Hospitals and physicians need to approach joint ventures with expectations of high performance.
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Combining gainsharing with pay for performance offers the potential to deal simultaneously with the nation's healthcare quality, affordability, and profitability issues by more equitably rewarding contributions toward enhanced quality of care, increased efficiency, and reduced case costs.