The Managed Care Contracting Handbook

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The Managed Care Contracting Handbook

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Author : Maria K. Todd
language : en
Publisher: CRC Press
Release Date : 2009-03-26

The Managed Care Contracting Handbook written by Maria K. Todd and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-03-26 with Business & Economics categories.

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 Handbook

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Author : American Hospital Association. American Academy of Healthcare Attorneys. Managed Care Contracting Manual Task Force
language : en
Publisher:
Release Date : 1997

Managed Care Contracting Handbook written by American Hospital Association. American Academy of Healthcare Attorneys. Managed Care Contracting Manual Task Force and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Contracts categories.

Managed Care Contracting Handbook

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Author : Cynthia F. Reaves
language : en
Publisher:
Release Date : 2001

Managed Care Contracting Handbook written by Cynthia F. Reaves and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with Contracts categories.

Ahla Health Plans Contracting Handbook Ahla Members

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Author : American Health Lawyers Association
language : en
Publisher:
Release Date : 2021

Ahla Health Plans Contracting Handbook Ahla Members written by American Health Lawyers Association and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021 with categories.

The Handbook traces the managed care contracting process from preparing to negotiate the contract, to formation and implementation, to termination issues.With contributions from more than twenty authors, the book includes nearly 300 sample clauses, many from the authors' own files. The clauses provide variations in language to illustrate potential advantages to the respective parties, as well as factors to consider when negotiating in today's dynamic legal and business context. This practical work also includes checklists, a health plan contracting term glossary, and a fully annotated provider agreement template.The latest trends and emerging issues.The authors have thoroughly updated each chapter and added new chapters to address emerging issues in managed care contracting, including:Managed care penetration into Medicare and MedicaidValue-based payments and the associated financial and operational considerationsLarge health systems launching as independent payers or through integrated delivery modelsThe rise of direct-to-employer contractingA growing need to address uses and ownership of dataIncreasing focus on considerations when a provider does not have a contract with a payerAnd more!

The Psychiatrist S Guide To Managed Care Contracting

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Author :
language : en
Publisher: American Psychiatric Publishing
Release Date : 1997

The Psychiatrist S Guide To Managed Care Contracting written by and has been published by American Psychiatric Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Medical categories.

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.

Ahla Health Plans Contracting Handbook Non Members

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Author : American Health Lawyers Association
language : en
Publisher:
Release Date : 2021

Ahla Health Plans Contracting Handbook Non Members written by American Health Lawyers Association and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021 with categories.

The Handbook traces the managed care contracting process from preparing to negotiate the contract, to formation and implementation, to termination issues.With contributions from more than twenty authors, the book includes nearly 300 sample clauses, many from the authors' own files. The clauses provide variations in language to illustrate potential advantages to the respective parties, as well as factors to consider when negotiating in today's dynamic legal and business context. This practical work also includes checklists, a health plan contracting term glossary, and a fully annotated provider agreement template.The latest trends and emerging issues.The authors have thoroughly updated each chapter and added new chapters to address emerging issues in managed care contracting, including:Managed care penetration into Medicare and MedicaidValue-based payments and the associated financial and operational considerationsLarge health systems launching as independent payers or through integrated delivery modelsThe rise of direct-to-employer contractingA growing need to address uses and ownership of dataIncreasing focus on considerations when a provider does not have a contract with a payerAnd more!

The Managed Care Handbook

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Author : James R. Lyle
language : en
Publisher:
Release Date : 1994

The Managed Care Handbook written by James R. Lyle and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1994 with Medical categories.

Physician Employment Contract Handbook

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Author : Maria K. Todd
language : en
Publisher: McGraw-Hill Professional Publishing
Release Date : 1999

Physician Employment Contract Handbook written by Maria K. Todd and has been published by McGraw-Hill Professional Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Law categories.

Managed Care Contracting

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Author : William A. Garofalo
language : en
Publisher: Jossey-Bass
Release Date : 1999-01-06

Managed Care Contracting written by William A. Garofalo and has been published by Jossey-Bass this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999-01-06 with Health & Fitness categories.

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

The Managed Care Yearbook

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Author :
language : en
Publisher:
Release Date : 1994

The Managed Care Yearbook written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1994 with Health maintenance organizations categories.