Download or read book The Managed Care Contracting Handbook written by Maria K. Todd and published by CRC Press. This book was released on 2009-03-26 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Download or read book Contract Medical Services written by United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Oversight and Investigations and published by . This book was released on 1987 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Choices written by Clark C. Havighurst and published by American Enterprise Institute. This book was released on 1995 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text argues that private contracts would allow for more and genuine consumer choice, based on real differences between competing health plans in content, mixture and cost of services. It further argues that contracts would establish set standards and obligations for all parties.
Download or read book Summary of Grants and Contracts written by National Center for Health Services Research and published by . This book was released on 1975 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Eighth edition, contains all projects active on June 30, 1975.
Download or read book VA Health Care written by United States. General Accounting Office and published by . This book was released on 1992 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Contract Health Services written by United States. Indian Health Service and published by . This book was released on 1986 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Performance based Contracting for Health Services in Developing Countries written by Benjamin Loevinsohn and published by World Bank Publications. This book was released on 2008-01-01 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the existence of effective interventions, there are many developing countries which are not on track to achieve the Millennium Development Goals (MDGs) for health. In many countries the delivery of health services is inadequate and one way of improving the situation is to contract with non-state providers. Contracting is a mechanism for a financing entity to procure a defined set of services from a non-state provider. Performance-based contracting is a type of contracting with: (a) a clear set of objectives and indicators; (b) systematic efforts to collect data to judge contractor performance; and (c) some consequences for the contractor, either rewards or sanctions, based on performance. Effective contracting for health services can be facilitated by using a systematic approach, described in this toolkit, that addresses key issues, including how to: 1. have a constructive dialogue with all stakeholders; 2. define the health services in terms of what services are to be delivered, where, the quantity of beneficiaries to be served, equity, and quality of care; 3. design the monitoring and evaluation to judge the performance of contractors; 4. select the contractors in a fair and transparent way; 5. arrange for effective contract management; 6. draft the contract and bidding documents; and 7. carry out the bidding process and successfully manage the contracts. The toolkit also includes a review of 14 evaluated examples of contracting in developing countries which concludes that the current weight of evidence indicates that contracting improves the coverage and quality of services rapidly. The six cases with controlled, before and after evaluations demonstrated large impact with themedian double difference (follow-up minus baseline in the experimental group minus follow-up minus baseline in the control) ranging from 9 to 26 percentage points.
Download or read book Health Care Franchise Business Activity Contracts for Medical Services written by and published by . This book was released on 2003 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contract personnel responsible for procuring medical services and military and civilian health care professionals within the military health system should read this report. Those responsible for acquiring and providing medical services should be interested in the issue of acquiring medical services through the Department of the Treasury, Franchise Business Activity contracts.
Download or read book Summary of Grants and Contracts Active on written by National Center for Health Services Research and published by . This book was released on with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Contract Management written by United States. General Accounting Office and published by . This book was released on 2004 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Contract Management of Medical Services written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2012-10-18 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Department for Work and Pensions relies on medical assessments to help its decision makers reach an appropriate decision on a customer's entitlement to a wide range of benefits. From April 2013, a new medical assessment will be introduced for Personal Independence Payment. A procurement competition is underway to appoint service providers for this. The Department's contractor for medical services, Atos Healthcare, completed 738,000 face-to-face medical assessments in 2011-12 and charged the Department £112.4 million. This performance review examines the Department's contract management and wider strategy for the supply of medical services, including the Department's contractual relationship with Atos Healthcare; the performance management of Atos Healthcare; the future contracting strategy. Amongst key findings, according to the performance data provided, is that Atos Healthcare has not routinely met all the service standards specified in the contract. This report makes a number of recommendations to strengthen existing governance arrangements; to improve performance monitoring and to strengthen the Department's commercial strategy
Download or read book An Evaluation of Contracts Between Managed Care Organizations and Community Mental Health and Substance Abuse Treatment and Prevention Agencies written by Sara Rosenbaum and published by . This book was released on 1997 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improving the Medicare Market written by Institute of Medicine and published by National Academies Press. This book was released on 1996-11-01 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book The Managed Care Contracting Handbook written by Maria K. Todd and published by CRC Press. This book was released on 2009-03-26 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Download or read book The Research Contracts Program written by National Center for Health Services Research and published by . This book was released on 1975 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Contract Medical Services written by United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Oversight and Investigations and published by . This book was released on 1987 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Important Guidlines for Medical Practitioners when Contracting with Health Insurance Companies written by Ken Reckard and published by . This book was released on 2005 with total page 21 pages. Available in PDF, EPUB and Kindle. Book excerpt: Context: In order to maintain a viable medical practice, medical providers must understand the various types of health plans and the way in which these plans negotiate their contracts for medical services provided to their members. Although numerous opinions have unfolded regarding how these contracts should be negotiated, there are common, important points between the various insurance companies that will be discussed. Objective: To provide important information to providers on the key elements of negotiating a contract with health insurance companies. Design: Information on contracting will be obtained through the McMinnville Physicians Organization (MPO) and Dr. Michael Jaczko, President of the MPO. The MPO is located in Carlton, Oregon, and provides its member physicians with a basic format from which to evaluate their provider contracts. Additionally, information will be acquired through a search of the current literature. Results: The American Medical Association as well as state and local professional medical organizations are good resources to use when educating oneself about the different aspects of provider contracting. A common theme among the different organizations is that medical providers must be diligent and alert when negotiating a contract for services with a health plan. Conclusion: Providers cannot be expected to know all of the different health insurance plans. However, medical providers must educate themselves on the nuances of provider contracting with health insurance companies, especially since the terminology and language of most contracts are similar. Increasing their knowledge will not only allow providers to receive appropriate reimbursement for services, but also maintain a clinical practice as deemed suitable.
