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 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 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 Top Managed Care Contracting Clauses written by Peter Robert Fisk and published by HC Pro, Inc.. This book was released on 2007 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Managed Care Contracting written by Douglas A. Conrad and published by . This book was released on 1996 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: However, successful managed care contracting is a daunting challenge, requiring a range of skills from creating an organizational vision and strategy to pricing specific services. Managed Care Contracting provides all the necessary tools to meet the challenge of managed care contracting.
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 Reed Tinsley and published by American Medical Association Press. This book was released on 1999 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
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 Negotiating and Contracting in Managed Care written by and published by Amer Medical Assn. This book was released on 1993-12-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managed Care and Capitation Contracting for Home Health Agencies written by Ann W. Ino and published by . This book was released on 1996 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Health Care Contracting 2000 written by and published by . This book was released on 1999 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Contracting with Managed Care Organizations written by Joseph A. Welfeld, FACHE and published by Jossey-Bass. This book was released on 1996-05-29 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Transitioning to Alternative Payment Models written by Doral Jacobsen and published by Medical Group Management Association/Center for Research in Ambulatory Health Care Administration. This book was released on 2016-10-01 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book's goal is to offer medical practice leadership teams practical guidance on navigating the shift from volume-based to value-based managed care contractual relationships. Medical practices - both independent and affiliated - that understand how their organization can and should position themselves for the future will have a significant advantage over the competition. Honestly identifying where you are and defining where you want to be begins with developing a clear understanding of national and local market dynamics, identifying potential arrangements within your local market and applying those factors to your organization's goals. This exercise can ultimately inform your value proposition, which becomes the cornerstone of your managed care contracting strategy. The book will cover in detail the most common alternative payment models and what your practice should do to prepare for this transition. Models detailed include: Pay for performance Bundled payments Shared savings Capitation
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 A Guide for Providers of Mental Health and Addictive Disorder Services in Managed Care Contracting written by and published by . This book was released on 1998 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managed Care Contracting written by Maureen E. Corcoran and published by BNA Books (Bureau of National Affairs). This book was released on 1996 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
