The Internist's Guide to Negotiating Managed Care Contracts and Capitation Rates
Author | : James Wieland |
Publisher | : Amer College of Physicians |
Total Pages | : 189 |
Release | : 1996-01 |
Genre | : Medical |
ISBN | : 9780943126784 |
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Author | : James Wieland |
Publisher | : Amer College of Physicians |
Total Pages | : 189 |
Release | : 1996-01 |
Genre | : Medical |
ISBN | : 9780943126784 |
Author | : John F. McCally |
Publisher | : McGraw-Hill Health Care Education Group |
Total Pages | : 196 |
Release | : 1996 |
Genre | : |
ISBN | : 9780786311491 |
Author | : Steven F. Isenberg |
Publisher | : Thieme |
Total Pages | : 374 |
Release | : 1998 |
Genre | : Managed care plans (Medical care) |
ISBN | : 9780865776876 |
The first section leads us through the complicated and risky business of capitation and examines reimbursement in a managed care environment. The idiosyncrasies of managed care contracts are detailed and you will learn how to negotiate with managed care companies. There is a focus on practice profiling and the presentation of an expertise on referral guidelines. The final chapter explores the ethical issues of managed care. In section II you will find a description of outcome research and youseful information for the implementation of outcomes research in community-based office practices. The third section begins with two chapters on improving office efficiency and managing staff in a managed care environment. The next chapter leads us through the important and complicated software selection process for the individual practitioner's needs. A private practitioner offers his insight into managing a medical practice and the section completes with some helpful pointers to avoid malpractice claims. Section IV provides the physicians' response to managed care. The legal issues of mergers and networks are discussed. Several practicing physicians outline their personal experiences in the rapidly changing world of physician network development. The book's final chapter leaves us with an expertise on how physicians can take back healthcare
Author | : James R. Lyle |
Publisher | : Healthcare Consultants Incorporated |
Total Pages | : 404 |
Release | : 1996 |
Genre | : Medical |
ISBN | : |
Discusses various types of managed care organizations including physician organizations (PO), physician-hospital organizations (PHO), preferred provider organizations (PPO), management services organizations (MSO), and health maintenance organizations (HMO).
Author | : William N. Tindall |
Publisher | : Jones & Bartlett Learning |
Total Pages | : 322 |
Release | : 2000 |
Genre | : Managed care plans |
ISBN | : 9780834217652 |
Provides physicians, administrators, and other health professionals with information on managed care, from its history, forms and practices to detailed information on managed care contracting, physician compensation, monitoring, reporting, management, risk, productivity, and accountability. Annotati
Author | : |
Publisher | : American Psychiatric Publishing |
Total Pages | : 92 |
Release | : 1997 |
Genre | : Medical |
ISBN | : |
Because of growing enrollment in managed care plans, psychiatrists are finding it necessary to sign contracts with managed mental health care programs in order to receive third-party payment. These contracts often lead to complications and form a key area of concern for clinicians. The Psychiatrist's Guide to Managed Care Contracting helps psychiatrists make sense of the legal issues arising from their managed care contracts. In a step-by-step manner, this useful guide develops the framework for the crucial decisions that must be made and highlights the strategies a psychiatric practice can employ to shape the contract in its favor. It reviews standard contract provisions and the issues involved so that potential problems can be identified early in the negotiating process. The Psychiatrist's Guide to Managed Care Contracting also details the essential groundwork and preparation that should be completed before a psychiatric practice enters negotiations, including practice assessment, financial planning, marketing, and the development of administrative support. Equipped with this knowledge and advice, psychiatrists can negotiate from a position of strength and develop a favorable contract that ensures the survival and prosperity of their practice.
Author | : George B. Moseley |
Publisher | : Jones & Bartlett Learning |
Total Pages | : 644 |
Release | : 1999 |
Genre | : Group medical practice |
ISBN | : 9780834207356 |
This book is a guide to strategic training for physicians in an era of managed care. The first half of the book provides a step-by-step process to help physicians take their practices into the new world of integrated delivery systems. The second half of the book covers a variety of key topics such as credentialing, reimbursement systems, and utilization management.
Author | : David William Lee |
Publisher | : Aspen Publishers |
Total Pages | : 0 |
Release | : 1997 |
Genre | : Capitation fees (Medical care) |
ISBN | : 9780899708676 |
An invaluable managed care resource published by the American Medical Association. Capitation: The Physician's Guide teaches you the essential features of capitated medical service payment arrangements. With this essential resource, you'll increase your profitability and achieve greater clinical autonomy through learning how to negotiate better contracts and evaluate rates, identify when an expert is needed, and isolate the potential sources of risk.
Author | : Peter Boland |
Publisher | : Jones & Bartlett Learning |
Total Pages | : 624 |
Release | : 1993 |
Genre | : Managed care plans (Medical care) |
ISBN | : 9780834203914 |
Making Managed Healthcare Work is your comprehensive guide to developing and implementing a new strategic approach to managed care that's practical, performance-based, and results-oriented. Learn how to prepare for, identify, pursue, negotiate and implement a new type of managed care arrangement that can accomplish the objective of delivering quality care at competitive prices.