Oxford Health Plans (A): Specialty Management Case Solution And Analysis, HBR Case Study Solution & Analysis of Harvard Case Studies

A description of an innovative approach to the organization of medical care offered Oxford CEO Steve Wiggins. Wiggins argues that primary health physician "gatekeeper" model commonly used health maintenance organizations to control access to and coordination of specialized medical care is ineffective. Wide PCP can not be expected that the knowledge that is deep enough to play the role of facilitator. Wiggins aims to replace it with an approach that connects patients at medical professionals and medical institutions that have contracted with Oxford, to provide complete care for specific conditions or "cases" from beginning to end. The success of this model depends partly on the ability of health care professionals and institutions to negotiate the contract on how to divide the pie among themselves. But beyond this starting point, it is based on the ability of these different actors, each with their own expertise to coordinate care more effectively than broad PCP. Will this model on which Wiggins argues that "the rate of" success? "Hide
by Jody Hoffer Gittell, James L. Heskett, James Slayton Source: Harvard Business School 29 pages. Publication Date: 01 Oct 1997. Prod. #: 898042-PDF-ENG