The Managed Care Contracting Handbook - 9781563273698

Taylor & Francis

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\u2019t 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.\n--Decode and analyze reimbursement problems, loopholes, and contract stipulations you are likely to encounter \n--Learn tried-and-true tricks, tools, shortcuts, and techniques to evaluate agreements\n--Negotiate contracts that won\u2019t leave you open to unanticipated expenses\nWritten 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 initia.