title: A framework for managing risk-based managed care contracts.
abstract: To prepare for managing risk-based contracts with payers and other purchasers, providers should: Identify operational, competitive, and financial risks associated with the relevant patient populations. Improve organizational abilities related to patient care management, which is the key to managing operational risk. Address the competitive risks that can ensue when traditional lines of demarcation between providers and payers are crossed. Adopt strategies and tactics to manage financial risk, beyond buying malpractice and stop-loss insurance.
authors.affiliation: Navigant Consulting, Inc., Chicago, USA. mnugent@navigantconsulting.com
authors.forename: Michael
authors.initials: M
authors.lastname: Nugent
mesh_terms: D032982:Contracts; D004465:Economic Competition; D005377:Financial Management, Hospital / Q000191:economics*; D006801:Humans; D008329:Managed Care Programs / Q000191:economics*; D012308:Risk Management / Q000191:economics*; D014481:United States