Date of Conferral
2022
Degree
Doctor of Business Administration (D.B.A.)
School
Business Administration
Advisor
Peter Anthony
Abstract
Managed care leaders of independent physician associations (IPAs) lack strategies for allocating existing funds to avoid business closure. Medical providers are concerned with the quality of care for patients if the allocation of funding is not executed correctly. Grounded in the competing values framework (CVF), the purpose of this qualitative single case study was to explore strategies managed care leaders of IPAs use to allocate funds to avoid business closure. Participants were six executive leaders of an IPA in Los Angeles, the United States, who successfully managed the allocation of funds in a managed healthcare system. Data were collected from semistructured interviews and a review of company documents relating to costs, revenues, and financial data. Through thematic analysis, five themes were identified: managing costs of primary care and specialist contracts, use management, provider training, the importance of the Centers for Medicare & Medicaid Services CMS STAR Measures, and market branding. A key recommendation for IPA leaders is to evaluate internal and external operational factors influencing the financial control of organizations. The implications for positive social change include the potential for increased access to care and education for patients.
Recommended Citation
Loveall, Sherri Jean, "Successful Allocation of Funds in Managed Health Care Programs Revenue" (2022). Walden Dissertations and Doctoral Studies. 13534.
https://scholarworks.waldenu.edu/dissertations/13534
