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Author: Maria K. Todd
Publisher: CRC Press
ISBN: 1439866570
Category : Business & Economics
Languages : en
Pages : 334
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Book Description
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: Maria K. Todd
Publisher: CRC Press
ISBN: 1439866570
Category : Business & Economics
Languages : en
Pages : 334
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Book Description
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: Wendy Knight
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 392
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Book Description
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: William A. Garofalo
Publisher: Jossey-Bass
ISBN: 9780787945817
Category : Health & Fitness
Languages : en
Pages : 0
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Book Description
Today's heath care marketplace is highly competitive, requiring managed care providers to contract with dozens of insurers to survive. Each of these contracts comes with their its unique terms and conditions-making the contracting process overwhelmingly complex and giving many health care executives major headaches. Written by three of the country's leading health care consultants and attorneys, Managed Care Contracting is the first book to offer executives with no legal background practical, step-by-step advice on how to create winning contracts between health care organizations, payers, and employers. In straightforward language, free of legalese and jargon, this much-needed resource demystifies managed care contracting and prescribes some critical advice for hospital and physician group practice executives. The authors present helpful guidelines for evaluating the various types of managed care contracts and explain the most significant terms and concepts executives are likely to encounter. A treasure trove of information for health care executives no matter what their experience level, Managed Care Contracting Examines how to develop a contracting strategy Reviews the fundamentals of negotiating the contract Frames the key steps in the contracting process Provides a managed care contract negotiations checklist Dissects sample hospital and physician contracts Analyzes the contract risk factors by the type of payment explores the implications of changing financial incentives Outlines the most up-to-date information in the regulatory environment Includes illustrative examples and helpful tables and chartsFor health care executives who are just beginning the complex contracting process and for the more experienced who require the most current information on the topic, Managed Care Contracting provides the knowledge and tools they need to succeed. "Managed Care Contracting is a very timely
Author: Joseph A. Welfeld
Publisher:
ISBN: 9780608251424
Category :
Languages : en
Pages : 100
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Book Description
Author: Joseph A. Welfeld, FACHE
Publisher: Jossey-Bass
ISBN: 9781556481567
Category : Health & Fitness
Languages : en
Pages : 0
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Book Description
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.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175364
Category : Medical
Languages : en
Pages : 384
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Book Description
Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.
Author: Ann W. Ino
Publisher:
ISBN:
Category : Capitation fees (Health insurance)
Languages : en
Pages : 298
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Book Description
This comprehensive manual will guide home health executives through the maze of capitation/at-risk contracting, the development of operational systems, etc. Contracting strategies, writing proposals, financial issues, and quality management are covered. Sample contracts, agreements, proposals, and spreadsheets will further enhance the manual's usefulness.
Author: Maria K. Todd
Publisher: CRC Press
ISBN: 1040081118
Category : Business & Economics
Languages : en
Pages : 211
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Book Description
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: Sara Rosenbaum
Publisher:
ISBN:
Category : Community mental health services
Languages : en
Pages : 74
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Book Description
Author:
Publisher:
ISBN:
Category : Child health services
Languages : en
Pages : 88
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Book Description
