CAPE GIRARDEAU, Mo.-The two acute-care hospitals in Cape Girardeau and three hospitals in neighboring cities have formed a physician-hospital organization with 429 physicians. The PHO is called MedAmerica HealthNet. Executives said they hope to begin marketing a managed-care product to businesses in September. The hospitals are: 50-bed Dexter (Mo.) Memorial Hospital; 133-bed Missouri Delta Medical Center in Sikeston; 55-bed Perry County Memorial Hospital in Perryville; 248-bed St. Francis Medical Center here; and 261-bed Southeast Missouri Hospital, also in Cape Girardeau. MedAmerica will compete with health plans in metropolitan St. Louis, which is about 110 miles north, said William Shell, M.D., MedAmerica chairman. The group is trying to recruit more hospitals and physicians in Missouri and Illinois.
AURORA, Colo.-Two hospitals owned by Columbia/HCA Healthcare Corp. said they've cut their prices by an average of 10% to get ready for healthcare reform. The hospitals are 200-bed Aurora Regional Medical Center here and 180-bed North Suburban Medical Center in Thornton. The hospitals, formerly owned by Humana, posted the second-highest prices in metropolitan Denver in 1992, according to a recent state report. The regional system with the highest case-mix-adjusted charges, HealthOne, already has announced plans to chop its charges by an average of 5% to 10% at the start of its fiscal year in September (April 11, p. 30).
LITTLE ROCK, Ark.-Some 990 physicians have formed 13 managed-care organizations covering several Arkansas regions. Known as Arkansas Managed Care Organizations, or AMCOs, the groups will contract with local employers to provide comprehensive physician services. They're managed by a subsidiary of Little Rock-based Arkansas Medical Society. At least five other groups, including one in Little Rock, are in development, said Janell Mason, chief operating officer of the subsidiary, AMS Management Co. It was incorporated in January to help physicians form the AMCOs, negotiate contracts and set prices. A contract covering 450 employees and dependents at Helena (Ark.) Regional Medical Center began June 1. So far, AMS Management has negotiated 17 contracts for its managed-care organizations, and about 1,500 physicians have said they'll participate in a statewide network it's organizing. About 2,500 practicing physicians belong to the medical society.