eBook - PDF
The Managed Care Contracting Handbook
Planning & Negotiating the Managed Care Relationship
- 300 pages
- English
- PDF
- Available on iOS & Android
eBook - PDF
The Managed Care Contracting Handbook
Planning & Negotiating the Managed Care Relationship
About this book
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
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Yes, you can access The Managed Care Contracting Handbook by Maria K. Todd in PDF and/or ePUB format, as well as other popular books in Business & Operations. We have over one million books available in our catalogue for you to explore.
Information
Table of contents
- Front Cover
- Contents
- Acknowledgments
- Introduction
- Chapter 1: What Is Managed Care?
- Chapter 2: Managed Care Organizations
- Chapter 3: All-Products Contracts
- Chapter 4: Dealing with Self-Funded ERISA Payers in Managed Care: Employee Retirement Income Security Act (ERISA) of 1974
- Chapter 5: Medicaid Managed Care
- Chapter 6: Consumer Driven Health Plans: Contracting Implications
- Chapter 7: Silent Preferred Provider Organizations (PPOs), Secondary Markets, and White Space Management: Three Terms That Translate to Revenue Erosion and Frustration
- Chapter 8: Single-Case and Continuous-Discount Arrangements
- Chapter 9: Quality Issues in Managed Care (Pay for Performance)
- Chapter 10: Reimbursement Methods in Managed Care
- Chapter 11: Strategic Planning for Renewals and New Contracts: Understanding the Changing Competitive Environment
- Chapter 12: Developing Business Rules for Better Contracts
- Chapter 13: Negotiation Techniques, Tactics, and Strategies
- Chapter 14: Contract Law Basics
- Chapter 15: Evaluating a Managed Care Agreement— Step-by-Step
- Appendix: Insurance and Managed Care Glossary
- Back Cover