3 steps to profitable managed care contracts.
An effective managed care contract negotiation strategy should be founded on: Internal analysis that compares performance of your current managed care contracts in terms of volume versus discount rates and volume versus profit. External analysis that compares your current contracts with those of competitors and assesses prevailing market rates, contract language and provisions, and premium trends Payment performance analysis that identifies payment promptness and accuracy and associated penalty dollars for each payer.
Wilson
David B
DB
National Health Sciences Advisory Services, Ernst & Young LLP, Birmingham, Ala., USA. david.wilson@ey.com
Malloy
Michael
M
McCoy
Jim
J
Turner
Melody
M
D032982:Contracts; D005249:Fees and Charges / Q000639:trends; D017408:Guidelines as Topic; D007182:Income; D008329:Managed Care Programs / Q000458:organization & administration*; D011216:Practice Management, Medical / Q000191:economics*; D014481:United States