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 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 Managed Care Contracting Manual written by Michelle A. Grimm and published by Aspen Publishers. This book was released on 1995-12-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: If your hospital is thinking about doing business with a managed care plan or wants to revise an existing agreement, this valuable reference source can help you successfully analyze, negotiate and implement your contracts.This practical manual includes sample contract language..techniques to evaluate a contract financially...tips on developing a plan profile..negotiating strategies...sample HMO and PPO contracts..and more.Free Bonus: Includes the Managed Care Contracting Source File: Sample Agreements and Contract Language on Disk.
Download or read book Managed Care Contracting Handbook written by Cynthia F. Reaves and published by . This book was released on 2001 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managed Care Contracting written by William A. Garofalo and published by Jossey-Bass. This book was released on 1999-01-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Download or read book Managed Care Contracting written by Wendy Knight and published by . This book was released on 1997 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Physician s Contracting Manual written by Aynah Askanas and published by . This book was released on 1991 with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managed Care Contracting Handbook written by American Hospital Association. American Academy of Healthcare Attorneys. Managed Care Contracting Manual Task Force and published by . This book was released on 1997 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managed Care Contracts Manual written by Robert W. McAdams and published by Aspen Pub. This book was released on 1996 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt: In easy-to-understand language, learn about the fundamentals of contracting. The pros and cons of different types of managed care structures -- HMOs, IPAs, PPOs, MSOs, and others; how they operate and the legal issues pertinent to each; contract considerations, potential liabilities, negotiation tips and strategies, direct contracting, risk sharing, qualitybased agreements, antitrust, and more.
Download or read book AHLA Health Plans Contracting Handbook AHLA Members written by and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The Health Plans Contracting Handbook, Seventh Edition from AHLA traces the managed care contracting process from preparing to negotiate the contract, to formation and implementation, to termination issues. It identifies key questions typically encountered in preparing such agreements with a perspective that incorporates the current environmental challenges confronting managed care organizations, including the impact that healthcare reform issues will have on Provider-Payer relations. The Handbook considers the interests of Payers alongside those of providers and juxtaposes sample Provider-Friendly and Payer-Friendly language in order to help frame the negotiation and documentation of the parties' competing interests. It also offers separate chapters on Medicare and Medicaid managed care contracting in recognition of the growing significance that governmental Payers will have in years to come. Each chapter finishes with a bullet-point checklist of key considerations and a list of other useful resources, including both print and web-based sources.The eBook versions of this title feature links to Lexis Advance for further legal research options.
Download or read book Managed Care Contracts Manual written by Robert W. McAdams and published by Aspen Publishers. This book was released on 1997-01-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Guide for Providers of Mental Health and Addictive Disorder Services in Managed Care Contracting written by Jacqueline C. Leifer and published by . This book was released on 1998 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Physician s Managed Care Success Manual written by Scott Becker and published by . This book was released on 1999 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt: Broad changes in the methods of paying for health care services have led to vast changes in the practice of medicine. This book provides the basic tools, including checklists, sample contracts, and key terms a physician needs to take charge of his or her future in the evolving health care system. It explains models and concepts that are available from market to market. More important, this book provides numerous tested strategies for responding to opportunities and the basic principles and means by which to judge situations and proposals. It will guide today's physicians through the managed care maze as they develop business plans and negotiate contracts. * Helps you take and maintain control over patient care by maximizing your autonomy. * Outlines differences in practice type and summarizes the pros and cons of your various options within the managed care environment. * Uses real-life examples throughout, discussing both successes and failures of other entrepreneurial physicians.
Download or read book Poth written by and published by . This book was released on 1977 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book AHLA Health Plans Contracting Handbook Non Members written by American Health Lawyers Association and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook traces the managed care contracting process from preparing to negotiate the contract, to formation and implementation, to termination issues.With contributions from more than twenty authors, the book includes nearly 300 sample clauses, many from the authors' own files. The clauses provide variations in language to illustrate potential advantages to the respective parties, as well as factors to consider when negotiating in today's dynamic legal and business context. This practical work also includes checklists, a health plan contracting term glossary, and a fully annotated provider agreement template.The latest trends and emerging issues.The authors have thoroughly updated each chapter and added new chapters to address emerging issues in managed care contracting, including:Managed care penetration into Medicare and MedicaidValue-based payments and the associated financial and operational considerationsLarge health systems launching as independent payers or through integrated delivery modelsThe rise of direct-to-employer contractingA growing need to address uses and ownership of dataIncreasing focus on considerations when a provider does not have a contract with a payerAnd more!
Download or read book Managed Care Contracts Manual DK written by Robert W McAdams J and published by . This book was released on with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Psychiatrist s Guide to Managed Care Contracting written by and published by American Psychiatric Publishing. This book was released on 1997 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
