KANSAS CITY, Mo.-Ten public health agencies said they'll make plans to sell their services to managed-care organizations after preliminary discussions earlier this month (Sept. 5, p. 10). Over the next several months, the agencies will refine a contracting model and will talk with interested HMOs. As proposed, their group-Metropolitan Official Health Agencies of the Kansas City Area-would broker population-based services, such as health promotion, disease-specific control strategies, disease surveillance and community health assessment. Members of the group include the health departments of Independence, Mo; Kansas City, Mo.; the Missouri counties of Cass, Clay, Jackson, Platte and Ray; and the Kansas counties of Johnson, Leavenworth and Wyandotte. The health departments of Lafayette and Carroll counties in Missouri might join the group.
COLUMBIA, Mo.-University of Missouri Hospitals and Clinics, a 397-bed facility, has affiliated with 149-bed St. Marys in Jefferson City, Mo. The hospitals will operate independently but will share expertise in clinical programs, technology and physician affiliations, a spokeswoman said. Details of the affiliation are under discussion. The hospitals are forming a steering group comprising three representatives from each facility to establish criteria for joint activities. University of Missouri Hospitals earned $11 million on net patient revenues of $177 million in 1993. St. Marys reported net revenues of $70.2 million. Its earnings weren't available.
ST. LOUIS-Unity Health Network has added three hospitals to its fold, which will give it facilities on the Illinois border of the St. Louis area. The hospitals are 167-bed Saint Anthony's Health Center in Alton, Ill.; 305-bed St. Elizabeth Medical Center in Granite City, Ill.; and 372-bed St. Elizabeth's Hospital in Belleville, Ill. The network now links six St. Louis-area hospitals. Its members keep their governing structures and religious affiliations but coordinate managed-care contracting and the delivery of some medical services through Unity (Oct. 3, p. 60). "By expanding Unity's presence into Illinois, we can provide quality healthcare not only to businesses and individuals in Illinois but also to companies with employees on both sides of the Mississippi River," said Richard Grisham, Unity's chairman.