The Managed Care Contracting Handbook, 2nd Edition: Planning & Negotiating the Managed Care Relationship
Product Description
Managed care contracting is a administer that frustrates even the best administrators. But, 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 question, what clauses to avoid, what contingencies to cover … and when to question a lawyer for help.
- Decode and question reimbursement problems, loopholes, and narrow stipulations you are likely to encounter
- Learn tried-and-right tricks, tools, shortcuts, and techniques to evaluate agreements
- Negotiate contracts that won’t place 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, narrow law basics, and negotiating strategies.
The Managed Care Contracting Handbook offers critical details and strategic in rank 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.
Calculated to equip you with the confidence that comes with knowing the aptly questions to question and more answers than you are supposed to know, this simple-access resource —
- Provides a complete overview of managed care organizations
- Covers narrow 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 vital checklists, as well as a glossary
Buy Cheap The Managed Care Contracting Handbook, 2nd Edition: Plotting & Negotiating the Managed Care Relationship Online
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Maria Todd is truly one of a kind. She has done a phenomenal job in explaining complex concepts in simple and colorful words. The knowledge she presents in this book is extremely matter-of-fact and stems from her experiences negotiating contracts.
It is certainly very trying to find a resource like this book.
I highly urge this book to every person who is caught up in collecting payments in the managed care system. As a consultant to physicians for over a decade, I have yet to see such a powerful writing in this area.
Amol Nirgukar, CPA
Reliance Consulting LLC
Certified Broadcast Accountants/Business Consultants
[...]
Email: amol@reliancecpa.com
Rating: 5 / 5