Managed Care Contracting: A Practical Guide for Health Care Executives - Rilegato

Garofalo, William A.; Horowitz, Eve T.; Reardon, Thomas M.

Rilegato

ISBN 10: 0787945811 ISBN 13: 9780787945817

Casa editrice: Jossey-Bass Inc Pub, 1999

Riassunto

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 Contracting
• Examines how to develop a contracting strategy
• Reviews the fundamentals of negotiating the contract
• Frames the key steps in the contracting process
• Provides a managed care contract negotiations checklist
• Dissects sample hospital and physician contracts
• Analyzes the contract risk factors by the type of payment
• explores the implications of changing financial incentives
• Outlines the most up-to-date information in the regulatory environment
• Includes 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

Su questo libro

L'autore:

WILLIAM A. GAROFALO is vice president of Health Care Services with ML Strategies. He is the former leader of health care consulting for KPMG Peat Marwick's New England region and has worked nationally on a variety of managed care projects. EVE T. HOROWITZ is of counsel with the Health Services Group of the Mintz, Levin, Cohn, Ferris, Glovsky, and Popeo, P.C law firm. She routinely advises physicians on managed care issues as a member of the American Medical Association's Doctors' Advisory Network™. THOMAS M. REARDON is co-chair of the Health Services Group of the law firm Mintz, Levin, Cohn, Ferris, Glovsky, and Popeo, P.C. He is a member of the board of directors of Harvard Medical Center and CRICO (professional liability insurer for Harvard affiliated teaching hospitals).

Product Description:

Book by Garofalo William A Horwitz Eve T Reardon Thomas M

Su questa edizione

• Editore: Jossey-Bass Inc Pub
• Data di pubblicazione: 1999
• ISBN 10: 0787945811
• ISBN 13: 9780787945817
• Rilegatura: Copertina rigida
• Numero di pagine: 115