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Managed Care Contracting Handbook

Planning and Negotiating the Managed Care Relationship

By (author) Maria K. Todd
Format: Hardback
Publisher: McGraw-Hill Education - Europe, New York, United States
Imprint: Irwin Professional Publishing
Published: 1st Dec 1996
Dimensions: w 152mm h 229mm d 28mm
Weight: 601g
ISBN-10: 0786309997
ISBN-13: 9780786309993
Barcode No: 9780786309993
Today's managed care contract arrangements require that the provider understand the mechanics, legal aspects and market share implications of single signature, network-oriented, capitated and discounted fee-for-service payment arrangements. This work provides this information and shows the reader how to: evaluate both payer-proposed and self-authored managed care agreements; position their facility and services to secure and maintain managed care agreements that will yield oportunity for more patients and new business; negotiate a profitable managed care contract using suggested techniques for evaluating the capitation rates provided by prospective payers; and develop a capitation rate from their own data and data supplied by the payer.

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