COLUMBIA, S.C.-The Duke Endowment, a Charlotte, N.C.-based private foundation, has awarded a $225,000 grant to Richland Memorial Hospital to develop an integrated healthcare delivery system to coordinate healthcare services available to Medicaid and low-income people in Richland County. The grant is a first-year payment on an anticipated three-year award of $500,000. The hospital will develop the system, which will include preventive and outpatient care, with the help of county and community groups, including the Richland County Department of Social Services and the Richland Community Health Care Association.
WASHINGTON-District of Columbia hospitals have negotiated a settlement with the district's government over an estimated $20 million in overdue Medicaid payments, some dating back 10 years. Under the settlement, the district government by Dec. 1 will adjust its basic payment rate schedule so hospitals can get money they are owed dating to 1984. By Jan. 1, 1995, it will complete reimbursement for 1992 and 1993. The settlement stems from a suit hospitals filed against the district in 1990 to compel payment of about $50 million in Medicaid fees. The two sides agreed to payment terms in 1991. But, claiming the district had been slow to pay, the hospitals earlier this year filed a motion to enforce compliance, which yielded the settlement.
VIENNA, Va.-Supporters of a plan to create a statewide physicians network say the organization will give doctors a chance to show they can manage costs and still give patients unlimited access to quality care. The
Medical Society of Virginia voted Nov. 5 to create the organization, which will compete for buyers of healthcare services such as companies, insurers and HMOs. The plan also calls for creating a management organization to help support the network and its physician members. Critics of the proposal said it won't help control overall healthcare costs. The proposal brought passionate debate on both sides at the society's meeting in
Vienna, but speakers generally favored it. When the vote was taken, only a scattering of "nays" was sounded. The network will be open to all physicians, whether they are members of the medical society or not, although nonmembers will be asked to pay a higher entrance fee. The society invested more than $800,000 in a network study, including legal fees and fees to Lewin-VHI, a Fairfax, Va., consulting firm. The consultants said start-up costs could be $7.8 million at worst but most likely will require $6.1 million. Dues and income from contracts should provide $3.3 million of the operating money. The remaining $2.8 million could be raised through physician contributions, a loan or by taking a partner.-Associated Press