SINAI page 1
SINAI HOSPITAL
SINAI HOSPITAL GUILD
SINAI HOSPITAL DEPARTMENT OF OBSTETRICS
AND GYNECOLOGY
and
THE JEWISH NEWS
present
Phil Schaengold
ever, the former establishes a
deal with all the doctors with-
in the organization. The effi-
ciency the PHO affords the
contracting process will in-
crease Sinai's appeal to third-
party payers, supporters say.
"Negotiating a contract with
the Sinai PHO, which includes
the Sinai facility and 280 physi-
cians, may take two months. To
negotiate a contract with Sinai
and then negotiate contracts
with those 280 physicians indi-
vidually could take two or three
_ years
or
more,"
Mr.
Strauchman said.
"We're offering an opportu-
nity for HMOs and PPOs to ex-
tensively increase their panel
of physicians and also contract
with a large tertiary institution
(like Sinai) by negotiating only
one contract."
Sinai started recruiting
physicians for the PHO in April.
It sent out 500 solicitation pack-
ages, and by mid-June 280 doc-
tors who work at Sinai signed
up. This was 130 more than ad-
ministrators expected.
Supporters say PHOs also
will provide hospitals with a
competitive edge because PHOs
are nonprofit. They can offer
self-funded employers lower
premiums for medical coverage
than for-profit insurers.
But many doctors worry
about the effect PHOs might
have on physician autonomy.
"Philosophically speaking,
this is another step toward the
physicians' loss of control of
their own practices," said
Sinai's Chief of Staff Dr.
Norman Bolton, who is also a
surgeon in private practice.
However, Dr. Bolton said he
is willing to sacrifice some of
his autonomy if it means
putting Sinai in a more com-
petitive position.
"My goal in practice would be
not to be in any of these groups
at all. As more and more physi-
cians belong to these, they will
be at the hospital's mercy be-
SINAI page 20
TAY SACHS SCREENING MONTH
August 1 - 31
Tay Sachs is a rare genetic disease that a baby inherits from both parents
which causes progressive destruction of the central nervous system and
death in early childhood. There is no cure for the disease. Most carriers are
Jews of Eastern European descent.
You should be tested if you are over age 17, of Ashkenazi (Eastern European)
descent, considering marriage or pregnancy, or had been tested for the
disease prior to 1980. Orthodox Dor Yeshorim approach to screening is
available.
For the month of August, Sinai Hospital will offer Tay Sachs screening for a
reduced fee of $15. The normal charge for this test is $90.
Call Sinai Hospital Genetics Counselor Robin Gold at 493-6060 to schedule
your appointment today.
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