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The Internists Guide To Negotiating Managed Care Contracts And Capitation Rates
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Book Synopsis The Internist's Guide to Negotiating Managed Care Contracts and Capitation Rates by : James Wieland
Download or read book The Internist's Guide to Negotiating Managed Care Contracts and Capitation Rates written by James Wieland and published by Amer College of Physicians. This book was released on 1996-01 with total page 189 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Managed Care, Outcomes, and Quality by : Steven F. Isenberg
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
Book Synopsis Physicians Guide to Managed Care by : James R. Lyle
Download or read book Physicians Guide to Managed Care written by James R. Lyle and published by Healthcare Consultants Incorporated. This book was released on 1996 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discusses various types of managed care organizations including physician organizations (PO), physician-hospital organizations (PHO), preferred provider organizations (PPO), management services organizations (MSO), and health maintenance organizations (HMO).
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
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.
Book Synopsis A Guide to Managed Care Medicine by : William N. Tindall
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
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:
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:
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.
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:
Book Synopsis Managed Care Strategies by : George B. Moseley
Download or read book Managed Care Strategies written by George B. Moseley and published by Jones & Bartlett Learning. This book was released on 1999 with total page 644 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a guide to strategic training for physicians in an era of managed care. The first half of the book provides a step-by-step process to help physicians take their practices into the new world of integrated delivery systems. The second half of the book covers a variety of key topics such as credentialing, reimbursement systems, and utilization management.
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
Author :John F. McCally Publisher :McGraw-Hill Health Care Education Group ISBN 13 :9780786311491 Total Pages :196 pages Book Rating :4.3/5 (114 download)
Book Synopsis Capitation for Physicians by : John F. McCally
Download or read book Capitation for Physicians written by John F. McCally and published by McGraw-Hill Health Care Education Group. This book was released on 1996 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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:
Book Synopsis Positioning Your Practice for the Managed Care Market by : J. Thomas Danzi
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.
Book Synopsis The Physician's Guide to Managed Care by : David B. Nash
Download or read book The Physician's Guide to Managed Care written by David B. Nash and published by Jones & Bartlett Learning. This book was released on 1994 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: You'll find the practical guidance you need to transition smoothly int o the managed care environment. You'll learn the pros and cons of prac ticing in a managed care setting, the daily life of managed care physi cians, the role of managed care in medical education and health care r eform. Discover how to take advantage of new opportunities and avoid p itfalls, balance cost consideration with clinical decision-making, and understand the case mix systems most frequently used in managed care. Written almost entirely by physicians, The Physician's Guide to Manag ed Care is a must for any physician interested in meeting future chall enges.
Author :American Psychiatric Association. Office of Economic Affairs and Practice Management Publisher :American Psychiatric Publishing ISBN 13 :9780890424537 Total Pages :0 pages Book Rating :4.4/5 (245 download)
Book Synopsis The Psychiatrist's Guide to Capitation and Risk-based Contracting by : American Psychiatric Association. Office of Economic Affairs and Practice Management
Download or read book The Psychiatrist's Guide to Capitation and Risk-based Contracting written by American Psychiatric Association. Office of Economic Affairs and Practice Management and published by American Psychiatric Publishing. This book was released on 1997 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In today's competitive economic environment, many psychiatrists are entering capitation agreements with managed care organizations. In exchange for a flat fee for each member of a benefit plan, the psychiatrist must provide all services needed by group members regardless of the amount of service required or its cost. The Psychiatrist's Guide to Capitation and Risk-Based Contracting provides the tools that will allow clinicians to navigate this complex process and develop a successful capitated program. It includes an overview of the primary financial, administrative, and clinical issues involved in such a contract. This guide contains helpful advice on how to calculate an equitable capitation rate, evaluate and negotiate a contract, minimize the financial risks involved, and resolve numerous other issues crucial to a successful capitation contract. An interactice mental health capitation demonstration disk especially designed and developed to educate psychiatrists about the interrelationships between mental health utilization, mental health service cost, and managed care capitation rates accompanies this book. By using this guide, clinicians will be able to manage this competitive environment in the best interests of their patients and their practice.
