Exhibit 11-13

New Medical Practice: Different Perceptions *

  Community Board Clinicians Negotiated Principles of Practice
Scope of Care Cover medical,
environmental,
psychological needs
of individual and
community
Medical care to individuals:
- No surgery
- No neurology
- No orthopedics
- No psychiatry
- No obstetrics
Medical care to individuals:
- No surgery
- No neurology
- No orthopedics
- Minimal psychiatry
- Minimal obstetrics (prenatal)
When Provided - 7 days/week
- 24 hours/day
- 52 weeks/year
- 32 hours/week
- 8 hours/day
- 45 weeks/year
- 40-50 hours/week
- 8 hours/day in practice
- 2 hours/day in hospital
- 46 weeks/year
Type of Visit - Episodic
- Many appointments
- Short visits
- Comprehensive
- Few appointments
- Long visits
- Mix of moderate appointments
- Mix of visits
Equipment and Personnel - Minimal equipment
- Few personnel
- Sophisticated equipment
- Large support staff
- Minimal to start; build as needed
- Staff moderate; build as needed
Reimbursement - Low fees
- Large base
- High collection
- No reinforcement of collection policies
- Low fees
- Small base
- Not concerned about collections
- Moderate fees
- Moderate base
- 90% collection ratio +
- Reinforcement of collection policies
Chances of Financial Success Moderate Low High