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.

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

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 and Contracting in Managed Care

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Author :
Publisher : Amer Medical Assn
ISBN 13 : 9780899705910
Total Pages : pages
Book Rating : 4.7/5 (59 download)

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Book Synopsis Negotiating and Contracting in Managed Care by :

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:

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:

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.

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:

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.

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.

Managed Care Answer Book

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Author :
Publisher :
ISBN 13 :
Total Pages : 1142 pages
Book Rating : 4.4/5 (91 download)

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Book Synopsis Managed Care Answer Book by : Sheryl Tatar Dacso

Download or read book Managed Care Answer Book written by Sheryl Tatar Dacso and published by . This book was released on 1999 with total page 1142 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an indispensable reference for all professionals involved in the design, implementation, financing, or operation of a managed care program, written in the classic answer book format. You'll find extensive sections providing basic understanding of managed care, cost containment strategies, and advice on organization and implementation of programs. The topic is covered from the ground up, with crucial questions and authoritative, up-to-date answers on every facet of managed care, including such valuable features as: Contract negotiation strategies and dispute resolution techniques Maximizing utilazation review and outcomes assessment Techniques for managed care implementation and administration Plus payer and provider contracting; advice on legal and regulatory considerations; important issues covered from both purchaser's and provider's perspectives; and discussion on information technology and telemedicine.

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:

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:

The Managed Health Care Handbook

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834217263
Total Pages : 1448 pages
Book Rating : 4.2/5 (172 download)

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Book Synopsis The Managed Health Care Handbook by : Peter Reid Kongstvedt

Download or read book The Managed Health Care Handbook written by Peter Reid Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2001 with total page 1448 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thoroughly revised and updated book provides a strategic and operational resource for use in planning and decision-making. The Handbook enables readers to fine-tune operation strategies by providing updates on critical managed care issues, insights to the complex managed care environment, and methods to gain and maintain cost-efficient, high quality health services. With 30 new chapters, it includes advice from managers in the field on how to succeed in every aspect of managed care including: quality management, claims and benefits administration, and managing patient demand. The Handbook is considered to be the standard resource for the managed care industry.

Physician's Managed Care Success Manual

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Author :
Publisher :
ISBN 13 :
Total Pages : 420 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Physician's Managed Care Success Manual by : Scott Becker

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.

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:

2000 Negotiating Managed Care Contracts

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Author :
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: