Disease management: a contracting primer.
This article provides an understanding of the issues and steps that are required for negotiating a disease management contract. Because most of the author's experience derives from representing pharmaceutical companies and other provider driven entities, the tenor of the comments often reflects that perspective on negotiations. This article focuses on disease management contracting whereby a provider network or case manager assumes risk relating to the cost of providing care to a certain type of patient.
Becker
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Ross & Hardies, Chicago, IL, USA.
Kannensohn
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K
D002017:Budgets; D019090:Case Management / Q000191:economics*; D003284:Contract Services / Q000191:economics / Q000331:legislation & jurisprudence / Q000592:standards*; D004345:Drug Industry; D004358:Drug Therapy; D006801:Humans; D007356:Insurance, Pharmaceutical Services; D008329:Managed Care Programs / Q000191:economics / Q000331:legislation & jurisprudence / Q000592:standards*; D017008:Negotiating; D012308:Risk Management; D014481:United States