Biomedical subjects
Publications and source records attributed to Pamela M Waymack.
To navigate carefully through today's rough healthcare waters, healthcare financial managers need to: Plan for the unexpected. Realize that technology alone is not a solution. Refrain from being overconfident
Electronic eligibility verification is already being performed by some healthcare organizations and is in the near future for all hospitals. Several steps will help your organization make this vision a reality: Gain internal management commitment to improving eligibility automation. Approach potential business partners. Talk with your software vendors about their plans to obtain CORE certification. Consider requiring CORE certification as part of your managed care contracting expectations.
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Three essential baseline measures of managed care performance that should be reported on a regular basis are: Overall profitability of the organization's managed care portfolio. Payer mix and profitability. Performance of major managed care contracts.
An effective managed care contract exit plan includes: performance measurement, stakeholder analysis, communication plan, timing assessment, project plan.