Download or read book Managed Care Contracting Survival Guide for Healthcare Providers written by Lisa Spoden and published by Hcpro Incorporated. This book was released on 2006 with total page 149 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 Washington G 2 Reports Survival Guide to Negotiating Managed Care Contracts written by Julie McDowell and published by . This book was released on 2009-12 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Positioning Your Practice for the Managed Care Market written by J. Thomas Danzi and published by . This book was released on 1996 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: A physician's survival guide for adapting a medical practice to the managed care environment. Reviews major issues in health care reform, defines managed care, and discusses financial and clinical assessment of an individual practice for the managed care market, looking at managed care from the perspective of the provider, the medical doctor, and the medical student. Other topics include quality improvement; legal implications of managed care; and IPOs.
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 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 Managed Dying written by Barbara Johanna Janesick and published by Xlibris Corporation. This book was released on 2000-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed Dying - An HMO Survival Guide This guide is to assist people to contend with the rapidly growing managed care business that is predominating the health care delivery system in United States. The HMOs manage people as dollar signs, while short changing them with sometimes inadequate and delayed medical treatments. This is a significant change in how patients were conventionally treated years ago. Because of these cost cutting trends, people need to be informed about HMO performance, how to become advocates within the system, and how to receive the best medical care possible by a for-profit managed care corporation. It is hoped that readers will become more educated to prevent personal tragedy before it happens and be given new insight and perspective about the corporative world of HMOs. The guide will show the only way to beat the system is by members keeping abreast of their health plan policy, being informed about the illness, becoming active in their own medical care, and ensure their patient rights are never violated. Readers will learn how to become an HMO survivor when faced with a chronic and serious disease. The book enlightens people about the silent medical crisis that is occurring nationally to our health care system. It provides the tools to become an effective advocate for themselves or a loved one. Every HMO member should be knowledgeable about the managed care, because the time will come when a family member is hospitalized and has to face the bureaucracy of the HMO provider. Managed care physicians will not always go to bat for a patient due to his or her contract restrictions. The public must realize the “Marcus Welby” days are a past compassionate tradition that has disappeared. The guide provides an internal look at the system and offers key strategies and options when seeking proper and efficient medical treatment.
Download or read book Contracting With Managed Care Organizations written by Joseph A. Welfeld and published by . This book was released on 1996-05-01 with total page 100 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.
Download or read book The Family Practitioner s Survival Guide to the Business of Medicine written by Robert W. Katz and published by Jones & Bartlett Learning. This book was released on 1998 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guidebook addresses the three major financial centers in every ph ysician's life--the medical practice, the pension plan, and personal f inances. Listing cases and examples, the author addresses these three interrelated financial centers in a two-phase process: how to conduct practice management review and then how to use this process to establi sh an ongoing system for successful total financial management. Plus, the second edition has new material on capitation, integrated delivery systems, mergers & acquisitions and practice valuation, pensions, and dealing with managed care companies.
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 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 Managed Care Operational Strategies written by Debbie Hall and published by Delmar. This book was released on with total page 500 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Guide to Managed Care Medicine written by William N. Tindall and published by Jones & Bartlett Learning. This book was released on 2000 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Download or read book Survival Strategies for Nurses in Managed Care written by Toni G. Cesta and published by . This book was released on 2002 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book helps nurse managers define their role in the managed care system, learn strategies in financial management and focus on preventative care, while working on re-engineering patient care delivery systems, utilization, and outcomes management. It addresses topics from defining managed care andexplaining how a company works, to addressing ethical and legal issues that arise in the managed care system.
Download or read book Managed Care Outcomes and Quality written by Steven F. Isenberg and published by Thieme. This book was released on 1998 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
