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August 20, 1993 - Image 20

Resource type:
Text
Publication:
The Detroit Jewish News, 1993-08-20

Disclaimer: Computer generated plain text may have errors. Read more about this.

drapery boutique

NE vil l "Aspen"

SINAI page 19

white goose down comforters

Super filled with white goose down for luxury and comfort with 230 to
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Dr. Norman Bolton
cause they are going to give up
autonomy," he said.
But Sinai Hospital President
and CEO Phil Schaengold said
the doctors' loss of autonomy
would not occur as a result of
the development of PHOs.
"The loss would result from
the increasing impact of man-
aged-care plans in the market-
place. The managed-care plans
(HMOs, PPOs, etc.), in order to
contain costs, will dictate the
network of providers that pa-
tients use, will alter the refer-
ral patterns that primary-care
physicians use. and in the long
run, will probably also dictate
certain practice patterns as a
means to control costs," he said.
One independent physician
explains why he opposes PHOs.
Joseph Weiss, a rheumatolo-
gist with a private practice in
Livonia, believes doctors have
little autonomy to give up.
PHOs will only worsen the sit-
uation, he said. Although its
board is composed of physicians
and hospital officials, he said
the PHO is likely to negative-
ly impact doctors.

"Driving the PHO is
the fear of being
left out."

Dr. Steven Widlansky

U)

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"As soon as you sign a con-
tract, someone is going to be
asking you to do things you
don't want to do," he said.
"(In contracts) there are an
awful lot of strictures and re-
strictions about which patients
you agree to take on. You will
probably be under a utilization
review. You may or may not be
paid if the PHO fails to make
budget. I have stayed away
from PHOs. Physicians who get
involved in this may spend
more time in courts than in clin-
ics."
Said Mr. Schaengold:
"That is the extreme position.
In reality, if a PHO is to be suc-

cessful, then it must do those
things that benefit the physi-
cian and the hospital. It is not
in the interest of the PHO to
negatively impact the physi-
cian, although the PHO must
implement a set of guidelines
and protocols to control utiliza-
tion and assure high-quality
care." For instance, a physician-
run committee will decide on
criteria for when to use expen-
sive high-tech medical equip-
ment and which antibiotics are
cost effective in treating certain
infections, he said.
Dr. Weiss also said PROs
might fall through because
President Bill Clinton's health-
care package is doomed.
"What the Clinton adminis-
tration is trying to do is marry
government regulation with
free-market ventures. It can't
be done because the detail of
government bureaucracy won't
mix with the ruthlessness
you've got to use when you're
venturing out into the market-
place."
Dr. Bolton and Dr. Steven
Widlansky served on the com-
mittee to form Sinai's PHO. The
latter said PROs are necessary
— but not necessarily optimal
— choice for doctors.
"Driving the PHO is the fear
of being left out," he said.
"Sinai's PHO (eventually) will
join with Beaumont's PHO,
which will join with others.
They'll cover the whole south-
eastern region of Michigan.
What will happen is the PHO
will take over the whole mar-
ket and anyone who is not a
member of the PHO is out of the
market. I think that doctors are
sort of trapped." ❑

Comedy Benefit
At The Fisher

Forgotten Harvest, a non-
profit organization working to
relieve hunger in the Detroit
metropolitan area, will pre-
sent native Detroiter Tim
Allen, star of ABC's "Home
Improvement," at Comedy
Night II For Action Against
Hunger Sept. 11 at the Fisher
Theatre.
Tim will headline this even-
ing of comedy along with
master of ceremonies Mark
Ridley. They will be joined by
comedians Jim McLean,
Keith Ruff and Jill
Washburn. Proceeds will go to
benefit Forgotten Harvest.
Tickets will be available at
the Fisher Theatre box office
and TicketMaster.

Seven pits lie open before
the good, and he escapes;
before the wicked there is
only one, and he falls into it.
Talmud: Sanhedrin, 7a

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