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Physician Patterns in the Provision of Health Care to Their Own Employees
Richard M. Gebhar, MD;
Edwin A. Olson
Camden Physicians Ltd Plymouth, Minn
Arch Fam Med. 1996;5(2):68-69.
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The article by Sansone et al1 in the August 1995 issue of the ARCHIVES was of interest. The authors clearly stated several potential boundary issues that exist when physicians provide health care to their employees.
Physicians in our clinic have experienced all of these issues. We would like to highlight two additional issues that our group experienced and that we believe complicated the provision of employee health care.
The first issue arose when the clinic chose a capitated health maintenance organization (HMO) health plan as the clinic's health insurance plan. The clinic's physicians were providers under this health plan. If employees chose to receive health care through our clinic, the clinic would receive two financial benefits: monthly capitation payments to the clinic would increase, and, if utilization was correctly managed, the end-of-yearould in effect offset the cost of employee health care. On the other hand, physicians faced difficulties as
. . . [Full Text PDF of this Article]
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