Contracting With Managed Care Organizations

Author: Joseph A. Welfeld, FACHE
Publisher: Jossey-Bass
ISBN: 9781556481567
Size: 15.49 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.

The Managed Care Contracting Handbook 2nd Edition

Author: Maria K. Todd
Publisher: CRC Press
ISBN: 9781439866573
Size: 80.34 MB
Format: PDF, ePub, Mobi
View: 3521
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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: 16.39 MB
Format: PDF
View: 6838
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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: 48.88 MB
Format: PDF
View: 3993
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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: 36.58 MB
Format: PDF
View: 175
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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 ...

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: 37.41 MB
Format: PDF
View: 2741
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This study, undertaken for the Substance Abuse and Mental Health Services
Administration (SAMHSA), is an exploratory, descriptive, point-in-time
examination of the structure and content of provider network agreements
between managed care organizations (MCOs) and community mental health and
substance abuse (MH/SA) treatment and prevention agencies. Its purpose is to
evaluate the agreements that MCOs execute with providers to carry out the tasks
required by group health ...

Managed Care Contracting

Author: William A. Garofalo
Publisher: Jossey-Bass
ISBN: 9780787945817
Size: 68.46 MB
Format: PDF, Docs
View: 5869
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Step-by-Step Guidelines for Creating Successful Managed Care Contracts "Managed Care Contracting is a very timely book by some true experts in the field. This book is an indispensable guide to contracting from all perspectives.

Essentials Of Managed Health Care

Author: Peter Reid Kongstvedt
Publisher: Jones & Bartlett Learning
ISBN: 9780763739836
Size: 10.56 MB
Format: PDF, ePub, Mobi
View: 6841
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The purpose of a managed care organization is to provide or arrange for the
provision of health care services. Most managed care organizations such as
health maintenance organizations (HMOs) or preferred provider organizations (
PPOs) provide their services through arrangements with individual physicians,
individual practice associations (IPAs), medical groups, hospitals, and other
types of health care professionals and facilities. The provider contract formalizes
the managed ...

Managed Care Strategies

Author: George B. Moseley
Publisher: Jones & Bartlett Learning
ISBN: 9780834207356
Size: 39.12 MB
Format: PDF
View: 5036
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This book is a guide to strategic training for physicians in an era of managed care. The first half of the book provides a step-by-step process to help physicians take their practices into the new world of integrated delivery systems.