Negotiating successful managed care contracts.
The goal in managed care contracting is to create a coherent framework for treatment and payment decisions that is as unintrusive, flexible, and cooperative as possible for both payers and providers. That goal rarely is achieved with a generic contract that ignores the circumstances and interests unique to a particular payer and provider. This article highlights a number of key issues that arise in managed care contracting in general and offers several practical suggestions for resolving those issues.
Clark
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Dechert Price & Rhoads, Princeton, NJ, USA.
D003284:Contract Services / Q000592:standards*; D018588:Fee-for-Service Plans / Q000458:organization & administration*; D005377:Financial Management, Hospital / Q000379:methods*; D017408:Guidelines as Topic; D007344:Insurance Claim Reporting; D008329:Managed Care Programs / Q000191:economics*; D017009:Professional Autonomy; D014481:United States; D014600:Utilization Review