Managed Care Contracting: A Practical Guide for Health Care Executives

Price 52.00 USD

EAN/UPC/ISBN Code 9780787945817

Brand Jossey-Bass

Today"s heath care marketplace is highly competitive, requiring managed care providers to contract with dozens of insurers to survive. Each of these contracts comes with their its unique terms and conditions-making the contracting process overwhelmingly complex and giving many health care executives major headaches.Written by three of the country"s leading health care consultants and attorneys, Managed Care Contracting is the first book to offer executives with no legal background practical, step-by-step advice on how to create winning contracts between health care organizations, payers, and employers. In straightforward language, free of legalese and jargon, this much-needed resource demystifies managed care contracting and prescribes some critical advice for hospital and physician group practice executives.The authors present helpful guidelines for evaluating the various types of managed care contracts and explain the most significant terms and concepts executives are likely to encounter. A treasure trove of information for health care executives no matter what their experience level, Managed Care ContractingExamines how to develop a contracting strategyReviews the fundamentals of negotiating the contractFrames the key steps in the contracting processProvides a managed care contract negotiations checklistDissects sample hospital and physician contractsAnalyzes the contract risk factors by the type of paymentexplores the implications of changing financial incentivesOutlines the most up-to-date information in the regulatory environmentIncludes illustrative examples and helpful tables and chartsFor health care executives who are just beginning the complex contracting process and for the more experienced who require the most current information on the topic, Managed Care Contracting provides the knowledge and tools they need to succeed. "Managed Care Contracting is a very timely