Managed care contracting is a process that frustrates even the
best administrators. However, to ignore this complexity is to do so
at your own expense. You don t necessarily need to bear the cost of
overpriced legal advice, but you do need to know what questions to
ask, what clauses to avoid, what contingencies to cover ... and
when to ask a lawyer for help.
- Decode and analyze reimbursement problems, loopholes, and
contract stipulations you are likely to encounter
- Learn tried-and-true tricks, tools, shortcuts, and techniques
to evaluate agreements
- Negotiate contracts that won t leave you open to unanticipated
expenses
Written by Maria K. Todd, a seasoned professional in managed
care contracting, this handbook is written for managers, analysts,
and finance officers who have the daunting task of negotiating
contracts for medical services. It offers an in-depth examination
of managed care and its organizations and covers key areas, such as
pay-for-performance initiatives, reimbursement methods, contract
law basics, and negotiating strategies.
The Managed Care Contracting Handbook offers critical details
and strategic information as well as resources on everything from
HMOs and PPOs to Consumer Driven Health Plans (CDHP), self-funded
ERSIA payers, and Medicaid managed care.
Fully updates the first edition, which was used widely in the
U.S. and overseas.
Designed to equip you with the confidence that comes with
knowing the right questions to ask and more answers than you are
supposed to know, this easy-access resource
- Provides a complete overview of managed care organizations
- Covers contract law basics
- Presents material that can be used internationally
- Discusses Medicaid Managed Care
- Offers an operational evaluation of a typical managed care
agreement
- Includes sample contracts and important checklists, as well as
a glossary
General
Imprint: |
Productivity Press
|
Country of origin: |
United States |
Release date: |
March 2009 |
First published: |
March 2009 |
Authors: |
Maria K. Todd
|
Dimensions: |
229 x 152 x 27mm (L x W x T) |
Format: |
Hardcover
|
Pages: |
344 |
Edition: |
2nd edition |
ISBN-13: |
978-1-56327-369-8 |
Categories: |
Books >
Medicine >
General issues >
Health systems & services >
General
|
LSN: |
1-56327-369-1 |
Barcode: |
9781563273698 |
Is the information for this product incomplete, wrong or inappropriate?
Let us know about it.
Does this product have an incorrect or missing image?
Send us a new image.
Is this product missing categories?
Add more categories.
Review This Product
No reviews yet - be the first to create one!