Management: Organizational Design, Development and Management

Understanding Changes to Physician Practice Arrangements in Maine and New Hampshire

Abstract: 

This report examines trends in the organization and ownership of physician practices in Maine and New Hampshire. The Maine Office of MaineCare Services and the New Hampshire Office of Medicaid Business and Policy observed a trend in the conversion of physicians from private practice to other practice arrangements including Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), hospital-owned practices, and hospital outpatient departments. Faced with increased costs for care provided within these facilities, both Medicaid programs sought to understand more about these changes, including their magnitude, the forces driving them, and their short and longer-term implications.

Suggested Citation:

Lenardson J, McGuire C, Alfreds S, et al.  Understanding Changes to Physician Practice Arrangements in Maine and New Hampshire. Portland, ME: University of Southern Maine, Muskie School of Public Service, Institute for Health Policy; January 2008.

Publication Type: 
Report
Publish Date: 
January 31, 2008
URL: 
http://muskie.usm.maine.edu/Publications/ihp/PhysicanPracticeChanges.pdf

PAN Program Evaluation

Duration: 
1/1/2006 - 1/30/2007
Collaborators: 
Maine CDC
Abstract: 

This project will consist of evaluation and data analysis activities to support the Maine Physical Activity and Nutrition Program for the Maine Center for Disease Control and Prevention. Serve as lead for planning, implementation, and evaluation of the program intervention to address obesity prevention. Coordination and implementation fo specific program evaluation activities with program staff, contractor for HMP evaluation, and key state partners.

Start Date: 
Sun, 2006-01-01
End Date: 
Tue, 2007-01-30
Legacy Muskie ID: 
3 869

Advancing Public Health Practice

Duration: 
1/1/2007 - 1/30/2008
Collaborators: 
Maine Center for Diseaxe Control
Abstract: 

The goals of this cooperative agreement are to build and enhance the capacity of Maine State government, the University of Southern Maine, and Maine's public health systems to improve the health of Maine's population. Project goals objectives address 1) expanding and coordinating public health research and evaluation, 2) developing and piloting model program systems, 3)building human resource capacity for program performance, and 4) designing and delivering new education and training programs to support the developemnt of public health leadership and a more effective professional public health workforce.

Start Date: 
Mon, 2007-01-01
End Date: 
Wed, 2008-01-30
Legacy Muskie ID: 
4 728

Advancing System Improvements to Support Targets for Health People 2010

Duration: 
1/1/2007 - 1/30/2008
Director: 
Nadine Edris
Collaborators: 
Maine Primary Care Association; Maine-Dartmouth Family Practice Residence; Women's Health Initiative; Maine CDC Cardiovascular Program; Physical Activity and Nutrition Program; Office of Elder Services Living Well Program; Office of Minority Health-Tribal Invitation; Maine Women's Health Campaign, OAMHS/DHHS;
Abstract: 

CVD is the leading cause of death in Maine. Project will focus on developing a gender-based approach to two Healthy People 2010 objectives concerning high blood pressure and action taken to control high blood pressure by increasing the proportion of adults who engage in moderate physical activity and consume health fruits and vegetables. Project will embed gender-based approaches to managing chronic conditions into primary care and family medicine systems of care via existing care model collaboratives. Develop a strategic plan to share outcomes and resources for spread to other chronic conditions within Maine's health care systems. Project will incorporate mental health screenings and analyze data by gender.

Start Date: 
Mon, 2007-01-01
End Date: 
Wed, 2008-01-30
Legacy Muskie ID: 
4 713

Maine Food Stamp Nutrition Education Plan 2008

Duration: 
1/1/2007 - 1/30/2008
Abstract: 

The Maine Nutrition Network (MNN) Food Stamp Nutrition Education (FSNE)Plan FY 08 consists of multiple projects that impact three main goals. These goals include sustaining a collaborative of state and local partners to accomplish innovative nutrition education program; support environments in which Maine children choose active lifestyles and make informed food choices that support optimal health; and provide opportunities for Maine adults to make appropriate food choices and have increased accessibility to food and physical activity choices that support optimal health. The Office of Integrated Access and Support and the Maine DCD collaborate with Muskie to effectively reach these goals through training and technical assistance to schools and communities that reach Maine people who are eligible to participate in the Food Stamp Program.

Start Date: 
Mon, 2007-01-01
End Date: 
Wed, 2008-01-30
Legacy Muskie ID: 
4 791

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