Top Managed Care Contracting Clauses
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Author | : Peter Robert Fisk |
Publisher | : HC Pro, Inc. |
Total Pages | : 158 |
Release | : 2007 |
Genre | : Health services administration |
ISBN | : 1601460694 |
As a provider, your survival hinges on your ability to maximize reimbursements from managed care contracts and control access to agreed-upon discounts. But money lost at the time of service or through the collection process is often determined well before the patient ever comes through the door. In many cases, that money was lost back when the contract was negotiated. Top Managed Care Contracting Clauses: A Toolkit for Providers contains practical strategies and tools for any organization facing the prospect of negotiating a new managed care contract.
Author | : Maria K. Todd |
Publisher | : CRC Press |
Total Pages | : 334 |
Release | : 2009-03-26 |
Genre | : Business & Economics |
ISBN | : 1439866570 |
Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don‘t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer
Author | : United States. General Accounting Office |
Publisher | : |
Total Pages | : 28 |
Release | : 1997 |
Genre | : Health maintenance organizations |
ISBN | : |
Author | : Maria K. Todd |
Publisher | : CRC Press |
Total Pages | : 211 |
Release | : 2009-03-26 |
Genre | : Business & Economics |
ISBN | : 1040081118 |
Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don‘t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer
Author | : Medical Management Institute |
Publisher | : McGraw-Hill Companies |
Total Pages | : 180 |
Release | : 1994 |
Genre | : Medical |
ISBN | : 9780076007059 |
Author | : Reed Tinsley |
Publisher | : American Medical Association Press |
Total Pages | : 132 |
Release | : 1999 |
Genre | : Medical |
ISBN | : |
This book provides thorough guidance on how to successfully negotiate both discounted fee-for-service and capitated managed care contracts and offers strategies designed to improve managed care contracting relationships.
Author | : Jacqueline C. Leifer |
Publisher | : |
Total Pages | : 64 |
Release | : 1998 |
Genre | : Managed care plans (Medical care) |
ISBN | : |
Author | : Wendy Knight |
Publisher | : |
Total Pages | : 392 |
Release | : 1997 |
Genre | : Managed care plans (Medical care) |
ISBN | : |
This book provides physician executives and medical group managers with a 'next generation' reference on the managed care contracting process. This handbook will educate health care providers about managed care contracting: how the contracting process works, what a standard practice contract looks like and why certain provisions are included, what questions to ask and how to evaluate a capitation rate. Provides pertinent information from professionals in the field.
Author | : Cynthia F. Reaves |
Publisher | : |
Total Pages | : 254 |
Release | : 2001 |
Genre | : Contracts |
ISBN | : 9780918945853 |
Author | : Joseph A. Welfeld, FACHE |
Publisher | : Jossey-Bass |
Total Pages | : 0 |
Release | : 1996-05-29 |
Genre | : Health & Fitness |
ISBN | : 9781556481567 |
From preparing for the shift to a managed care environment to negotiating the terms of managed care agreements, this executive briefing offers guidance for evaluating and negotiating with managed care organizations (MCOs) to create important strategic relationships--and details the steps necessary to execute a strategic approach to managed care contracting. The author describes the key performance indicators for evaluating an MCO and offers valuable insight into an MCO's contracting requirements and provider network strategy. Also outlined are the essential operational and functional components in managed care agreements and ways for the health care provider to control or limit risk. Additionally, Contracting with Managed Care Organizations provides a unique clause-by-clause comparison between an undesirable and a desirable hospital agreement with an MCO.