Show Wednesday April THE RICHFIELD REAPER 6 1994 50 Piece Chicken McNuggets® Extra Large Fries Bottomless Pitcher Of Soft Drink 2- Elks Honor Eagle Scouts The Richfield Elk Lodge 2420 honored twelve young men who recently received their Eagle Scout awards by presenting each of them with American and flags certificates left Aidarn Goodwin Mark Henry Jonathon Mason Corey Coleman and Darryl Rosshardb On the back are Ryan Oldroyd left Todd Sorenson Way land Sorenson Trenton Brown Jeffery Starr and Ivan Ilartle of accomplishment On the back are Chris Chantrill Elks Award Scouts At Program As part of the lodge’s ongoing Youth Program the Richfield Elks Utah Parks Council Fish Lake District of the joined with the miitce consisting of Roy Likins Mickclsen Jim Now ling Crofts Hal Bradley and Dan attended the awards banquet Boy Scouts of America to honor 12 young men who were recently aw arded their Eagle Scout badges The Youth Activities O Dan Hcnrie chairman Com- - Whyte March A major portion of the closing ceremonies of the event was devoted to the Elks program honoring the American Flag with a flag commendation brief history of the flag 'Opening Ceremony Delma L Jukes Heather Blackwell Logan took her Grandpa and Grandma Seaman and Aunt Patti Phillips to Provo to be with Kay and Shelly Blackwell when she opened her call to the England London South LDS Mission Her brother Billy Black-we- ll is serving in the Scotland Glasgow LDS Mission Karen and Marilyn Price Hebcr visited LaVird Hansen cn route home from attending a Black Melissa Morrill Amber James and Jennifer Roberts analysis of the Pledge of Alan and Cheryl Pitts and children stayed over the weekend with Ken and Jill Pitts Attending a family dinner and Easter egg hunt at the home of Alice Howes were John and Cindy Locally Owned And Operated By Dale & Michelle Gibson Richfield Rlaa Alleg- iance and a flag colors recitation An Elks certificate of accomplishment and American flag were given to Chris Chantrill Aidarn Goodwin Mark Henry Jonathon Mason Corey Coleman Darryl Bosshardt Ryan Oldroyd Todd Sorenson Wayland Sorenson Trenton Brown Jeffery Starr and Stanton and Cassidy and Tyler Sevier Troy and Samantha Kennedy Cedar City and Lincoln and Shanna Long and Bob and Plus Tax Daily From 4 PM Until Closing Dave Darcl 24 Marysvale News 99 What you want is what you get Ivan Hurtle Francic Morris Powder Rendezvous They modeled unique Indian dresses they had cre- ated Also visiting were Brent Julandcr and his son Justin Hooper who has received a call to serve an LDS mission in Germany Participating in the Utah Open Clogging competition in Monroe o were Katie Howes Mcagan Johnson Jacic Johnson and Mindy Johnson Their team took first fl Ij (D U I N T r tb (D CD R M 0 QQi QIQQQOQ) QOBQ o Q N I) T A I N II I A T I C A R I place Alice Howes reports that her Karen and daughter and How Will Health Care son-in-la- w Wayne Kammcrcr have moved back to Utah from Fredricksburg Va where they have lived for seven years They purchased the James and Grace Knowlcr home in Austin The Piute High School drama team took first place at the Region Drama competition in Panguitch Participating from Marysvale were Shauna Rcvty Shyann Andcrton Michael Allan Mergers Affect Me?” Roman Hatch Jcnnce Burton Aaron Blackwell and Mandy Morrill Keith and McVoy Barbcn and Gary Alan Jordan Rhett and Kami attended the Etruscan history and art exhibit at Brigham Young University They were joined by Steven Barbcn Clark and Connie Brunson and Monica Aurora Velda Norton accompanied Racola LcFevre to Salt Lake City where they visited a sister Lea pitals and insurers — are coordinating their cflons to address the vaW t quality and cost I of care The goal of venical integration is to dnve cost out of the care process Those invoked in vertical integration recognize that it is niM enough to achieve management efficiencies sepu rutefv in hospitals physician practices and Siive Kohiiri Si si Yh f Pm re( sr (mihiv mus Hi ci in CtM ' Atkinson Piute High School student Melissa Blackwell attended a track meet in Sl George Todd and Tina Nesbitt and Ashton and Whitney Salt Lake City and Waco and Eloni Loni and KC Lund went on an early Easter picnic with Rex Ginger Dustin Shelly and Drcx Lund Elementary School students gathered at Lily Hill for an Easter egg hunt before being released for Easter vacation School Oscarson pride winners for March were Shane Stcphany Sylvester Dcspain Jordan Barbcn and Lori Sessions is er Elsi- nore visited LaVird Hansen Eric and Rachclle and Shelby Woolscy visited Gar and Lalia James University of Utah student Dennis Mann spent the weekend here with his daughter Amber niece Jcnnce Burton and Charley and Valita Mann The Rook Club met at Hoover's where Preal Nielsen won first prize Louise Bay won booby prize and Alice Howes won door prize Sam Steed is now the janitor manager at Sevier Valley Applied Technology Center Sam and Wendy Steed took their daughter Stacie to Salt Lake City where she participated in the state spelling bee and placed Aaron Blackw ell attended the region speech meet in Cedar City h Marie Jensen Cirdcville and Kathy Howes Elaine Mullens and Teresa Westwood attended a two-dr- y preschool workshop at the Olympus Hotel in Salt Lake City Utah State University student Anthony Howes visited over spring break with his family Steve and Kathy Howes Katie arid Julie came from Las Vegas Crystal took first place and Felicia Jones look second in the first grade spelling bee Others were insurance companies — these elements must work in concert with common incentives and common world of health care proceeding rapidly — far ahead of any government ini- goals to improve tiatives to address reform through legislation Today s health care field is a shifting landscape with companies merging here cnienng pannerships there and with some recent merger and acquisition activity has left many people who's who and what's what Readers of this column have been w nting us aking “Why is tins happening?’ and “What does this mean to me? In a nutshell Amencans arc demanding more health care Health care organisations are reconfigunng themselves to meet the new cost imperatives The question is Arc these really reform m a positive sense7 Will the mergers lead to enhanced value — high quality at a reasonable cost — or wall they rccon-figunn- merely lead to care? The answer is It depends Some of the cut-rat- e efficiency in the total process of care pan to the rapid growth of man- T members to specific providers In the stormy seas of Amencan health care integration is seen by many as a way of stav health care would be managed care provided by vertically integrated health systems These systems bnng thiec elements together — physicians e — in and dixtorsand hospitals into providing substandard care Excessive health care dollars would be diverted to slick market- he vision of integrated systems is noble one In this ideal all a Physicians hospitals and insurance companies that have not yet hitched their rafts to larger vessels are watching the bully TWO SCENARIOS aged care plans which direct their mg afloat them down and eliminating competition Insurance plans would the anxiety level among hea'th care organizations and have quickened the pKC of integration increase-- o ing campaigns as systems competed lor customers Amencans would have traded their oH issue lor a qualitv issue and the event most people now strongly oppvre — Cf government of health imu-unc- care — would been to look very attractive efficient alignment to Horizontal integration is also occurring where companies organisations vanishing completely Forces of change are also rocking the Intermountain area where won-denn- Rashcina Hatch was Breakfast Club winner for the month Parent-Teachconferences were also held Dwain and Mary Cropper and Geraldine stocks visited their parents Lester and LaPrcal James Roy and Audrey Likins In the real hospitals Tixiiy when people choose a health insurance plan often they arc also choosing a group of physicians and a group of delivery sites This is due in g Reality will prohablv take a path renew he re N’t ween there two As in other areas o! within the same level of service are merging For example some hospital companies are merging with other hospital companies as in the HCVColumbia merger announced last November extremes Amencan life we are engaged in a struggle between thore who would rerce others and thore who would serve themselves between thore w he' rec re form as an opportunity to improve hcahh care and thore who are mere Honzonial integration is a way for effeccompanies to compete more It a be also precursor tively may to venical integration Integration may be accom- opportunists This is a moment of truth and decision for health care organizations and for the plished by acqumng or merging with other companies or through strategic alliances Amencan people Set the possihilnv of la lure should not caure us to shnnk from our duty to reform Ills' i' optimistic that the best m Amencan health care will prevail We believe pcop!c will stand up WHY INTEGRATE? Let s examine the reasons behind the current rush to integration 1 Cost reduction is the factor dnving all integration Companies interested in honzonlal integration wish to grow larger in order to gain negotiating strength and take advantage of economies of scale Vertical')- integrated organizations are reconfigunng is motivated by a desire to enhance the value of care Some is motivated by a desire to enhance profits Much is motivated by fear and uncertainty It is also important to distinguish between the two mutor types of reconfigunng trying to reduce costs by getting physu tans hospitals and insurers to work together more efficiently 2 Competitive issues t survival' In the past people usually went to the hospital recommend- Vertical integration is Occurring where the three major levels of service — physicians hos ed by their physician inscran c influcompanies exercised little ence in the choice of physicians or swells with growing apprehension Physicians and hospitals worry about losing patients Insurance plans worry thev will meet the public s need for qualitv care at a reasonable pm c Const mem would benefit a there sv stems competed cm the has s ol be unable to offer competitive premiums if they have not secured relationships with cost and qualitv Amencans would receive higher value health ctli-cic- providers These womes are not unfounded Reform legislation Reform proposals have brought a sen re of urgency to what has a’ tady been happening m the marketplace Public policy direussions have 3 care for the high va'ue organizations We believe verano I Vie is not only attainable — it s alreadv visible m the lrtermountam area If you have a question related to health care pleare cal! or write IHC DIALOGUE ON HEALTH CARE Jr South State Street Salt khe CTtv Utah Ml j k 1 kenano Two is a spectre of the worst that could happen as a result of integration In this o small independent community hospitals would be bought up by giant profit dnven conglomerates for the purpose of shutting SFYIFRVMIEY HOSPITAL IHC A NrtVT M I 7 A |