The Managed Care Contracting Handbook

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Author :
Publisher : CRC Press
ISBN 13 : 1439866570
Total Pages : 334 pages
Book Rating : 4.4/5 (398 download)

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Book Synopsis The Managed Care Contracting Handbook by : Maria K. Todd

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

Managed Care Contracting

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Author :
Publisher : American Medical Association Press
ISBN 13 :
Total Pages : 132 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Managed Care Contracting by : Reed Tinsley

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.

Managed Care Contracting

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Author :
Publisher : Jossey-Bass
ISBN 13 : 9780787945817
Total Pages : 0 pages
Book Rating : 4.9/5 (458 download)

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Book Synopsis Managed Care Contracting by : William A. Garofalo

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

Negotiating Managed Care Contracts

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Author :
Publisher : McGraw-Hill Companies
ISBN 13 : 9780076007059
Total Pages : 180 pages
Book Rating : 4.0/5 (7 download)

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Book Synopsis Negotiating Managed Care Contracts by : Medical Management Institute

Download or read book Negotiating Managed Care Contracts written by Medical Management Institute and published by McGraw-Hill Companies. This book was released on 1994 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Managed Care Contracting Handbook

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Author :
Publisher : CRC Press
ISBN 13 : 1040081118
Total Pages : 211 pages
Book Rating : 4.0/5 (4 download)

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Book Synopsis The Managed Care Contracting Handbook by : Maria K. Todd

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

Contracting and Negotiating Managed Care Agreements

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Author :
Publisher :
ISBN 13 : 9780892031566
Total Pages : 0 pages
Book Rating : 4.0/5 (315 download)

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Book Synopsis Contracting and Negotiating Managed Care Agreements by : American Academy of Orthopaedic Surgeons

Download or read book Contracting and Negotiating Managed Care Agreements written by American Academy of Orthopaedic Surgeons and published by . This book was released on 1996-08 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Negotiating Managed Care Contracts

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Author :
Publisher :
ISBN 13 : 9781583830116
Total Pages : 250 pages
Book Rating : 4.8/5 (31 download)

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Book Synopsis Negotiating Managed Care Contracts by : Medical Management Institute, The

Download or read book Negotiating Managed Care Contracts written by Medical Management Institute, The and published by . This book was released on 1998-01-01 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Top Managed Care Contracting Clauses

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Author :
Publisher : HC Pro, Inc.
ISBN 13 : 1601460694
Total Pages : 158 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis Top Managed Care Contracting Clauses by : Peter Robert Fisk

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.

Resource Guide and Work Book for MCH/CSHCN Providers

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Author :
Publisher :
ISBN 13 :
Total Pages : 88 pages
Book Rating : 4.3/5 (121 download)

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Book Synopsis Resource Guide and Work Book for MCH/CSHCN Providers by :

Download or read book Resource Guide and Work Book for MCH/CSHCN Providers written by and published by . This book was released on 1997 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Guide to Negotiating Managed Care Contracts

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Author :
Publisher :
ISBN 13 : 9780978850951
Total Pages : pages
Book Rating : 4.8/5 (59 download)

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Book Synopsis Guide to Negotiating Managed Care Contracts by : CMC Group, LLC, The

Download or read book Guide to Negotiating Managed Care Contracts written by CMC Group, LLC, The and published by . This book was released on 2006-01-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Negotiating Managed Care Contracts

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Author :
Publisher : Practice Management Information Corporation
ISBN 13 : 9781570660931
Total Pages : 160 pages
Book Rating : 4.6/5 (69 download)

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Book Synopsis Negotiating Managed Care Contracts by : Robert D. Keene

Download or read book Negotiating Managed Care Contracts written by Robert D. Keene and published by Practice Management Information Corporation. This book was released on 1994-01-01 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Managed Care Contracting Manual

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Author :
Publisher : Aspen Publishers
ISBN 13 : 9780937925683
Total Pages : pages
Book Rating : 4.9/5 (256 download)

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Book Synopsis Managed Care Contracting Manual by : Michelle A. Grimm

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.

2000 Negotiating Managed Care Contracts

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Publisher :
ISBN 13 : 9781583830659
Total Pages : 230 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis 2000 Negotiating Managed Care Contracts by : Robert D. Keene

Download or read book 2000 Negotiating Managed Care Contracts written by Robert D. Keene and published by . This book was released on 2000-01-01 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt:

2001 Negotiating Managed Care Contracts

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Author :
Publisher :
ISBN 13 : 9781583831304
Total Pages : 200 pages
Book Rating : 4.8/5 (313 download)

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Book Synopsis 2001 Negotiating Managed Care Contracts by : Medical Management Institute, The

Download or read book 2001 Negotiating Managed Care Contracts written by Medical Management Institute, The and published by . This book was released on 2001 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Managed Care Contracting

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Author :
Publisher :
ISBN 13 :
Total Pages : 392 pages
Book Rating : 4.:/5 (5 download)

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Book Synopsis Managed Care Contracting by : Wendy Knight

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.

Contracting with Managed Care Organizations

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Author :
Publisher : Jossey-Bass
ISBN 13 : 9781556481567
Total Pages : 0 pages
Book Rating : 4.4/5 (815 download)

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Book Synopsis Contracting with Managed Care Organizations by : Joseph A. Welfeld, FACHE

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.

An Evaluation of Contracts Between Managed Care Organizations and Community Mental Health and Substance Abuse Treatment and Prevention Agencies and Between State Medicaid Agencies and Managed Care Organizations

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Author :
Publisher : DIANE Publishing
ISBN 13 : 0788139002
Total Pages : 144 pages
Book Rating : 4.7/5 (881 download)

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Book Synopsis An Evaluation of Contracts Between Managed Care Organizations and Community Mental Health and Substance Abuse Treatment and Prevention Agencies and Between State Medicaid Agencies and Managed Care Organizations by : Sara Rosenbaum

Download or read book An Evaluation of Contracts Between Managed Care Organizations and Community Mental Health and Substance Abuse Treatment and Prevention Agencies and Between State Medicaid Agencies and Managed Care Organizations written by Sara Rosenbaum and published by DIANE Publishing. This book was released on 1998-12 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: A descriptive examination of: (1) the structure & content of provider network agreements between managed care organizations (MCOs) & community mental health & substance abuse (MH/SA) treatment & prevention agencies, proving an assessment of provider contracts to identify the meaning of these instruments for MH/SA service providers, group purchasers, MCOs, individual consumers, & public policy makers; & 2) service agreements between State Medicaid agencies & MCOs for mental health & substance abuse treatment services, addressing enrollment, benefits & services, duties, & quality assurance.