Rate structuring in managed care contracts demands detailed information.
In summary, managed care contracts are being written in a variety of ways, versions of capitation and discounted fee-for-service being only two of them. If you can't generate all of the information needed to negotiate, you need to step back and take another look at your management information system. Managed care is here. It was "just around the corner" yesterday!
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Moran
D002204:Capitation Fee; D003659:Decision Making, Organizational; D005376:Financial Management / Q000379:methods; D008329:Managed Care Programs / Q000191:economics*; D008331:Management Information Systems; D010934:Planning Techniques; D011907:Rate Setting and Review / Q000458:organization & administration*; D014481:United States