Contracting With Managed Care Organizations

Author: Joseph A. Welfeld, FACHE
Publisher: Jossey-Bass
ISBN: 9781556481567
Size: 56.17 MB
Format: PDF, ePub, Mobi
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Additionally, Contracting with Managed Care Organizations provides a unique clause-by-clause comparison between an undesirable and a desirable hospital agreement with an MCO.

An Evaluation Of Contracts Between Managed Care Organizations And Community Mental Health And Substance Abuse Treatment And Prevention Agencies And Between State Medicaid Agencies And Managed Care Organizations

Author: Sara Rosenbaum
Publisher: DIANE Publishing
ISBN: 9780788139000
Size: 36.53 MB
Format: PDF, Kindle
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A descriptive examination of: (1) the structure & content of provider network agreements between managed care organizations (MCOs) & community mental health & substance abuse (MH/SA) treatment & prevention agencies, proving an assessment of ...

The Managed Care Contracting Handbook 2nd Edition

Author: Maria K. Todd
Publisher: CRC Press
ISBN: 9781439866573
Size: 59.17 MB
Format: PDF
View: 2648
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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 ...

The Managed Care Contracting Handbook

Author: Maria K. Todd
Publisher: Irwin Professional Pub
Size: 40.27 MB
Format: PDF, ePub, Mobi
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This work provides this information and shows the reader how to: evaluate both payer-proposed and self-authored managed care agreements; position their facility and services to secure and maintain managed care agreements that will yield ...

Managed Care Contracting

Author: Wendy Knight
Publisher: Aspen Pub
ISBN: 9780834208834
Size: 20.19 MB
Format: PDF
View: 2455
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This book provides physician executives and medical group managers with a 'next generation' reference on the managed care contracting process.

Review Of Program Integrity Operations At Six Managed Care Organizations Delivering Medicaid Services Under A Contract With The South Carolina Department Of Health Human Services

Size: 28.90 MB
Format: PDF, ePub, Mobi
View: 6807
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This review's scope and objectives were: Test the six MCOs' compliance and effective execution of the SCDHHS's managed care contract “Section 11 - Program Integrity” focusing on the operational components of pre-payment review and post ...